| NPI | 1942863972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR JOSEPH PERINI Assistant Secretary 314-684-6273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-10-07 |