Organization
PHARMAX MW INC.
Active
Other names
Pharmax Pharmacy #1117, dba Pharmax Pharmacy #1117
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY T MCINTOSH (PRESIDENT)
(314) 954-5510
Entity
Organization
Contact information
Practice address
1117 MAIN ST, IMPERIAL, MO 63052-2323
(636) 464-1100
Mailing address
1117 MAIN ST, IMPERIAL, MO 63052-2323
(636) 464-1100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2014027679
MO
Other
Enumeration date
08/06/2014
Last updated
10/01/2020
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