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Organization
ST. LOUIS PHARMACEUTICAL SERVICES LLC
Active
Organization
ST. LOUIS PHARMACEUTICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W. REESE (DIRECTOR OF PHARMACY OPERATIONS)
(832) 601-6180
Entity
Organization
Contact information
Practice address
12855 N 40 DR, SAINT LOUIS, MO 63141-8635
(314) 523-5500
Mailing address
12855 N 40 DR, SAINT LOUIS, MO 63141-8635
(314) 523-5500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2003017841
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2635160
NCPDP
MO
05
—
5737516963
—
MO
Enumeration date
06/22/2005
Last updated
08/22/2020
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