Organization
LIN-KRIS PHARMACY INC
Active
Other names
WESTLAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROY EBERHART RPH (PRESIDENT OWNER)
(314) 795-8426
Entity
Organization
Contact information
Practice address
2060 ROCK RD, DE SOTO, MO 63020-1052
(636) 337-1761
(636) 586-0007
Mailing address
2060 ROCK RD, DE SOTO, MO 63020-1052
(636) 337-1761
(636) 586-0007
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2002005823
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050777
PK
—
05
—
602327306
—
MO
Enumeration date
07/17/2006
Last updated
06/10/2015
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