Organization
CARDINAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PETERS (OWNER)
(702) 245-7307
Entity
Organization
Contact information
Practice address
108 TRIAD CTR W # 108, O FALLON, MO 63366-7541
(833) 347-4217
Mailing address
108 TRIAD CTR W # 108, O FALLON, MO 63366-7541
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2018021047
MO
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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