Organization
PHARMAX BT INC
Active
Other names
PHARMAX PHARMACY #1365, dba Pharmax Pharmacy #1365
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCINTOSH (PRESIDENT)
(314) 954-5510
Entity
Organization
Contact information
Practice address
60 NESBIT DR, SUITE A, BONNE TERRE, MO 63628-1368
(573) 358-3301
Mailing address
60 NESBIT DR, SUITE A, BONNE TERRE, MO 63628-1368
(573) 358-3301
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2604937
NCPDP #
MO
05
—
600446504
—
MO
Enumeration date
08/31/2006
Last updated
03/07/2023
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