NPI | 1427131416 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT SHIPLEY President 636-928-1550 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MO 5437) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2020-08-22 |