| NPI | 1578658571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE FRIEDA President 314-849-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 5784) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-03-01 |