| NPI | 1700321288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SOMMER Vice President Finance/AO 314-965-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054020189) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2020-10-28 |