Organization
PHARMAX PARTNERS, INC.
Active
Other names
Pharmax LTC 1160
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY T MCINTOSH (PRESIDENT)
(314) 954-5510
Entity
Organization
Contact information
Practice address
116 WALNUT ST, FESTUS, MO 63028-1848
(636) 937-7997
Mailing address
10227 HARTSHILL LN, SAINT LOUIS, MO 63128-2621
(314) 954-5510
(573) 431-2362
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600033022
—
MO
Enumeration date
10/25/2018
Last updated
05/21/2024
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