| NPI | 1932366119 |
|---|---|
| Doing Business As | SPECIALTY RETAIL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LEE ORI President 314-991-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2007037394) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |