Gasaway Pba Pharmacy

NPI 1427131416 - Pharmacy - 333600000X

NPI Details
NPI 1427131416
Enumeration Date 10/23/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT ROBERT
Position PRESIDENT
Phone (636) 928-1550
Fax (636) 447-7168
Practice Location
104 JUNGERMANN RD
SAINT PETERS MO, 63376-1608, US
Phone (636) 928-1550
Fax (636) 447-7168
Business Location
104 JUNGERMANN RD
SAINT PETERS MO, 63376-1608, US
Phone
Fax
Toxanomy
Taxonomy Code 333600000X
License State Missouri
License Number 5437
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According to our database, Gasaway Pba Pharmacy NPI is 1427131416, taxonomy code is 333600000X and license number is 5437, license state is located at Missouri. Gasaway Pba Pharmacy physically located at 104 Jungermann Rd, Saint Peters MO, 63376-1608. NPI Number 1033115704 has the healthcare provider type.

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1427131416 NPI number is provided on an as is basis without warranty of any kind. 1427131416 is maintained by the National Plan & Provider Enumeration System. The contents of Gasaway Pba Pharmacy are for informational purposes only.