| NPI | 1366824351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JOHNSON Pharmacy Manager 314-770-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332100000X Department of Veterans Affairs (VA) Pharmacy |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |