| NPI | 1568097954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL RAHMAN ALMOUSALLI Owner 314-624-5941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2024-09-04 |