Organization
SAI APOTHECARY LLC
Active
Other names
Excel Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KETA JHALA (OWNER)
(817) 891-6967
Entity
Organization
Contact information
Practice address
505 SALT LICK ROAD, SAINT PETERS, MO 63376
(636) 278-6561
(636) 278-4754
Mailing address
505 SALT LICK ROAD, SAINT PETERS, MO 63376
(636) 278-6561
(636) 278-4754
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
05790
MO
3336C0003X
Community/Retail Pharmacy
Primary
2018005551
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2613506
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
600309900
—
MO
Enumeration date
02/21/2007
Last updated
03/07/2018
About Stedi
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