| NPI | 1700834587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR PERINI Vice President 314-684-6750 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 022968) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 022968) |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: NY 022968) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: NY 022968) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-07-02 |