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Organization

PRINCIPIA HEALTH & WELLNESS PHARMACY INC

Active
Other names
Shields Family Pharmacy, SHIELDS FAMILY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SETH K ANATO PHARMD (PRESIDENT/PHARMACIST IN CHARGE)
(314) 517-9035
Entity
Organization

Contact information

Practice address
1 PROFESSIONAL DR STE 170, ALTON, IL 62002-5069
(618) 463-0000
(618) 463-0008
Mailing address
1 PROFESSIONAL DR STE 170, ALTON, IL 62002-5069
(618) 463-0000
(618) 463-0008

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054018838
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2148900
PK
Enumeration date
11/20/2014
Last updated
07/21/2022
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