Organization
SSM HEALTH CARE ST LOUIS
Active
Other names
SSM Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SPENCER PHARMD (V.P. PHARMACY SERVICES)
(314) 989-2588
Entity
Organization
Contact information
Practice address
12266 DEPAUL DR. SUITE 105, BRIDGETON, MO 63044
(314) 344-7300
(314) 344-6179
Mailing address
12266 DEPAUL DR. SUITE 105, BRIDGETON, MO 63044
(314) 344-7300
(314) 344-6179
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
2009004862
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119641
PK
—
05
—
606172302
—
MO
Enumeration date
04/01/2009
Last updated
10/18/2022
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