| NPI | 1568054971 |
|---|---|
| Other Name | MERCY PHARMACY WENTZVILLE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LAKAMP Chief Pharmacy Officer 314-628-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2021-02-07 |