| NPI | 1578660114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. CONLIN Owner 314-831-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 002473) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |