| NPI | 1659187656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL IROVIC Vice President, Finance 314-265-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |