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Organization

IRM ENTERPRISES LLC

Active
Other names
Imran Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
REHAN RANA (PIC)
(314) 381-9394
Entity
Organization

Contact information

Practice address
3737 N KINGSHIGHWAY BLVD, STE 100, SAINT LOUIS, MO 63115-1736
(314) 381-9394
(314) 381-8833
Mailing address
3737 N KINGSHIGHWAY BLVD, STE 100, SAINT LOUIS, MO 63115-1736
(314) 381-9394
(314) 381-8833

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
200501105
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2639409
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
11/02/2010
Last updated
11/02/2010
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