# ST. LOUIS PHARMACEUTICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942206354
- **Authorized official:** MR. DAVID W. REESE (DIRECTOR OF PHARMACY OPERATIONS)
- **Authorized official phone:** (832) 601-6180

## Contact information

- **Practice address:** 12855 N 40 DR, SAINT LOUIS, MO 63141-8635
- **Practice address phone:** (314) 523-5500
- **Mailing address:** 12855 N 40 DR, SAINT LOUIS, MO 63141-8635
- **Mailing address phone:** (314) 523-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 2003017841 | MO | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2635160 | NCPDP | MO |
| 05 | — | 5737516963 | — | MO |