NPI | 1861483232 |
---|---|
Doing Business As | ST LUKES PHARMACY |
Entity Type | Organization |
Authorized Contact | RICHARD FOOK Phcy Director 314-205-6291 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2008006745) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2005-11-03 |
Last Update Date | 2015-10-12 |