NPI | 1811358138 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE HEFLEY COO 314-731-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2016011308) |
Enumeration Date | 2016-03-14 |
Last Update Date | 2022-08-18 |