| NPI | 1801341292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER REYNHOUT Owner/PIC/AO 314-393-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 2016029709) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2017-02-21 |