| NPI | 1295828705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WILLIAMS Member 314-993-4031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 6534) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-08-05 |