| NPI | 1346795903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYOBOSA SANDRA OSA-EDOH Pharmacist 314-757-4031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0021435) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |