| NPI | 1508016197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR PERINI Assistant Secretary 314-684-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2025-12-05 |