NPI | 1629769393 |
---|---|
Doing Business As | INTEGRIS PHARMACY 4175 |
Entity Type | Organization |
Authorized Contact | DONNA M WALLACE Assistant Treasurer 636-359-4890 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2023-05-15 |
Last Update Date | 2024-08-21 |