| NPI | 1407244502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE SCHALTENBRAND President 618-875-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |