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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