| NPI | 1164413530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BERRY Exec Dir Retail Pharmacy Svcs 314-628-5606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 2002001524) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2017-11-10 |