| NPI | 1497100887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MCINTOSH President 314-954-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2016018376) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2018-01-26 |