| NPI | 1932275690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA FERMAN Third Party Plan COO Rdinator 314-993-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH13368) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2023-09-15 |