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Organization
OLIVE STREET PHARMACY LLC
Active
Organization
OLIVE STREET PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER SHLAFSHTEYN (MEMBER)
(314) 736-5555
Entity
Organization
Contact information
Practice address
10420 OLD OLIVE STREET RD STE 103, CREVE COEUR, MO 63141-5937
(314) 736-5555
(314) 736-5500
Mailing address
10420 OLD OLIVE STREET RD, CREVE COEUR, MO 63141-5914
(314) 736-5555
(314) 736-5500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
01/28/2014
Last updated
12/30/2021
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