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 |