| NPI | 1932588514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA HAIDER Owner 314-328-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2021-11-15 |