| NPI | 1497272165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JAEGER VP Ambulatory & Specialty Pharmacy 314-628-5607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2021-06-21 |