| NPI | 1154744092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C ROYAL Pharmacist In Charge 314-747-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 005330) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |