| NPI | 1538281837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIC PERINI Assistant Secretary 314-684-6924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: DE A3-0000986) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2019-10-07 |