Organization
GLOBAL PHARMALIFE LLC
Active
Other names
PHARMA LIFE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOGACHEK (VP)
(404) 261-7775
Entity
Organization
Contact information
Practice address
10479 OLD OLIVE STREET RD, CREVE COEUR, MO 63141-5923
(314) 997-7722
(404) 261-4917
Mailing address
10479 OLD OLIVE STREET RD, CREVE COEUR, MO 63141-5923
(314) 997-7722
(404) 261-4917
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2005027475
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2636251
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/10/2006
Last updated
02/04/2013
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