| NPI | 1750324018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PAULE WINKELMANN Owner 314-353-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-08-09 |