Organization
COLONIAL VILLAGE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE ADAM ARBINI RPH (OWNER/PHARMACIST)
(314) 962-1065
Entity
Organization
Contact information
Practice address
7945 BIG BEND BLVD, SAINT LOUIS, MO 63119-2703
(314) 962-1065
(314) 962-9215
Mailing address
7945 BIG BEND BLVD, SAINT LOUIS, MO 63119-2703
(314) 962-9215
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
002541
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600129407
—
MO
Enumeration date
08/14/2006
Last updated
06/13/2008
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