| NPI | 1710991161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P WINKELMANN Pharmacist 314-353-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 004895) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2014-05-06 |