Organization
PUREMEDS LLC
Active
Other names
BIG BEND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HAREESH KUMAR REDDY PALLI RPH (PHARMACY MANAGER/OWNER)
(314) 359-2389
Entity
Organization
Contact information
Practice address
659 BIG BEND RD, MANCHESTER, MO 63021-7723
(636) 438-5095
Mailing address
659 BIG BEND RD, MANCHESTER, MO 63021-7723
(636) 438-5095
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
02/16/2022
Last updated
03/23/2022
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