| NPI | 1790967701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT S DINO President 314-652-2121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |