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Organization

PHARMAX MW INC.

Active
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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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