Strive Pharmacy Missouri, LLC
Pharmacy, Specialty Pharmacy in Fenton, MO. Organization (NPI-2).
NPI number1548094535
StatusActive
Last updated in NPPESAug 30, 2024
Details
- NPI
- 1548094535
- Entity type
- Organization (NPI-2)
- Legal business name
- Strive Pharmacy Missouri, LLC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2024
- Last updated
- Aug 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 3336M0002X | Pharmacy, Mail Order Pharmacy | – | – |
Practice location
2058 Fenton Logistics ParkFenton, MO 63026
Phone 877-273-1777 · Fax 724-213-1905
Mailing address
325 N. Ash St.Gilbert, AZ 85233
Phone 480-626-4366 · Fax 480-626-4365
Authorized official
Michael Walker
Member
4806264366
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