NPI | 1407163736 |
---|---|
Entity Type | Organization |
Authorized Contact | VIC PERINI Assistant Secretary 314-684-6273 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: CA 50860) |
Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
Enumeration Date | 2010-09-08 |
Last Update Date | 2021-04-08 |