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MRS. JUDITH ANN DIETZLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1035 BELLEVUE AVE, CLAYTON HEALTH SERVICES PHARMACY, SAINT LOUIS, MO 63117-1854
(314) 768-8870
(314) 768-8871
Mailing address
928 DORNE DR, MANCHESTER, MO 63021-6876
(636) 861-3447
(317) 768-8871

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40320
MO

Other

Enumeration date
11/23/2005
Last updated
07/08/2007
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