NPI | 1275814337 |
---|---|
Doing Business As | INTEGRIS PHARMACY 4187 |
Entity Type | Organization |
Authorized Contact | DONNA WALLACE Assistant Treasurer 636-359-4890 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 1-6899) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2011-09-02 |
Last Update Date | 2024-04-01 |