| NPI | 1649602293 |
|---|---|
| Doing Business As | ST ANTHONY MIDTOWN PHARMACY |
| Doing Business As | SSM HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHASTA RENE MANUEL Regional VP Finance 405-272-7279 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 16281) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2018-08-30 |