Organization
MILLENIUM CORPORATION
Active
Other names
Millennium Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NAVNEET GREWAL (PRESIDENT)
(610) 724-0224
Entity
Organization
Contact information
Practice address
763 S NEW BALLAS RD STE 100, CREVE COEUR, MO 63141-8711
(215) 968-3130
Mailing address
763 S NEW BALLAS RD, SUITE 100, CREVE COEUR, MO 63141-8704
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012030481
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136203
PK
—
Enumeration date
07/11/2012
Last updated
11/06/2013
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