# PRINCIPIA HEALTH & WELLNESS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shields Family Pharmacy, SHIELDS FAMILY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982001996
- **Authorized official:** DR. SETH K ANATO PHARMD (PRESIDENT/PHARMACIST IN CHARGE)
- **Authorized official phone:** (314) 517-9035

## Contact information

- **Practice address:** 1 PROFESSIONAL DR STE 170, ALTON, IL 62002-5069
- **Practice address phone:** (618) 463-0000
- **Practice address fax:** (618) 463-0008
- **Mailing address:** 1 PROFESSIONAL DR STE 170, ALTON, IL 62002-5069
- **Mailing address phone:** (618) 463-0000
- **Mailing address fax:** (618) 463-0008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054018838 | IL | Yes |

## Other

- **Enumeration date:** 11/20/2014
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2148900 | PK | — |