NPI | 1437742616 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR JOSEPH PERINI Assistant Secretary 314-684-6750 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
Enumeration Date | 2021-02-18 |
Last Update Date | 2024-07-23 |