| NPI | 1376009183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYTHAM MOSTAFA Pharmacy Owner And Manager 314-662-7597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2019-02-17 |