| NPI | 1487493995 |
|---|---|
| Doing Business As | PHARMAX LTC 1302 |
| Entity Type | Organization |
| Authorized Contact | LARRY T MCINTOSH President 314-954-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |