NPI | 1588445894 |
---|---|
Doing Business As | AFFINIA HEALTHCARE FERGUSON PHARMACY |
Entity Type | Organization |
Authorized Contact | CORINTHIA DARCEL JAMISON Credentialing Coordinator 314-814-8531 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2023-10-12 |
Last Update Date | 2023-10-12 |