| NPI | 1518484385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JAEGER VP Ambulatory & Specialty Pharmacy 314-628-5607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2017027477) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2021-06-21 |