| NPI | 1598991739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH BROWN General Manager 314-542-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MO 2004020806) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MO 7583HH) |
| 251F00000X Home Infusion | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 5312350001) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: 5312350001) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: 5312350001) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |