Organization · NPI-2

Christian Hospital Northeast Northwest

Pharmacy, Community/Retail Pharmacy · Florissant, MO

NPI number1144336058
StatusActive
Last updated in NPPESSep 6, 2012

Details

NPI
1144336058
Entity type
Organization (NPI-2)
Legal business name
Christian Hospital Northeast Northwest
Organization subpart
No
Enumeration date
Aug 22, 2006
Last updated
Sep 6, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPS005673MOYes
333600000X Pharmacy––

Other names

  • Family Care Pharmacy At Graham Medical Center (Doing Business As)

Practice location

1224 Graham Rd
Florissant, MO 63031-8028

Phone 314-953-6740 · Fax 314-953-6921

Mailing address

1224 Graham Rd
Florissant, MO 63031-8028

Phone 314-953-6740 · Fax 314-953-6921

Authorized official

Mary Wehking
Supervisor
3149536740

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