Organization
LONG TERM CARE RX, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A ANDERSON RPH (PRESIDENT/OWNER)
(314) 961-4405
Entity
Organization
Contact information
Practice address
1A DOCUMENT DR, SAINT LOUIS, MO 63114
(314) 961-4405
(314) 961-4010
Mailing address
1A DOCUMENT DR, SAINT LOUIS, MO 63114
(314) 961-4405
(314) 961-4010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
004811
MO
3336C0004X
Compounding Pharmacy
004811
MO
3336H0001X
Home Infusion Therapy Pharmacy
004811
MO
3336L0003X
Long Term Care Pharmacy
Primary
004811
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600124903
—
MO
05
—
629752809
—
MO
Enumeration date
12/22/2006
Last updated
12/09/2024
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