| NPI | 1316908403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BERRY Exec Dir Retail Pharmacy Svcs 314-628-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MO 2014005811) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO R4C88) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2023-03-07 |