| NPI | 1801197744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RENEE CLABON Chief Executive Officer 314-367-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: MO 2005035951) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2018-06-07 |