| NPI | 1609969880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SPENCER V.P. Pharmacy Services 314-989-2588 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 006069) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-10-18 |