NPI | 1780229690 |
---|---|
Doing Business As | ST. LOUIS PHARMACY AT IC |
Entity Type | Organization |
Authorized Contact | DEVIN DALPOAS President 314-533-1081 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2019-11-14 |
Last Update Date | 2024-07-08 |