| NPI | 1366889800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID HAMILTON Pharmacist In Charge 314-605-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |