| NPI | 1710404264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JAEGER VP Ambulatory & Specialty Pharmacy 314-628-5607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 2017027482) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2021-06-17 |