| NPI | 1326316969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ELIZABETH SIERBINSKI Pharmacist In Charge 314-381-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2011027321) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 2011027321) |
| 333600000X Pharmacy | |
| Enumeration Date | 2011-12-11 |
| Last Update Date | 2018-03-12 |