Organization
KRISHNA HEALTHMEDS LLC
Active
Other names
St Peters Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ JHALA (MEMBER)
(951) 818-9710
Entity
Organization
Contact information
Practice address
4885 MEXICO RD, SAINT PETERS, MO 63376-2577
(636) 244-5385
Mailing address
4885 MEXICO RD, SAINT PETERS, MO 63376-2577
(636) 244-5385
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2014023957
MO
3336C0003X
Community/Retail Pharmacy
Primary
2014023957
MO
3336C0004X
Compounding Pharmacy
2014023957
MO
Other
Enumeration date
07/15/2014
Last updated
05/07/2015
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