| NPI | 1306300934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAUNCEIA JANEA HUGHLEY-VALENTINE Clin Pharmacist/Pharm Consultant 314-616-2388 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |