| NPI | 1902578644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOZIE EZEKWU UZENDU Pharmacist In Charge 314-489-8582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |