Organization
PHARMAX MW INC.
Active
Other names
Pharmax LTC 1117
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY T MCINTOSH (PRESIDENT)
(314) 954-5510
Entity
Organization
Contact information
Practice address
1117 MAIN ST, IMPERIAL, MO 63052-2323
(636) 464-1100
Mailing address
10227 HARTSHILL LN, SAINT LOUIS, MO 63128-2621
(314) 954-5510
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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