Organization
SSM HEALTH CARE ST LOUIS
Active
Parent organization
SSM HEALTHCARE ST. LOUIS
Other names
SSM Health Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE ST. LOUIS
Authorized official
KIMBERLY SPENCER (V.P. PHARMACY SERVICES)
(314) 989-2588
Entity
Organization
Contact information
Practice address
1035 BELLEVUE AVE, SAINT LOUIS, MO 63117-1854
(314) 768-8870
Mailing address
10101 WOODFIELD LN, SAINT LOUIS, MO 63132-2946
(314) 994-7800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
005355
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2627620
NCPDP NUMBER
—
01
—
5355
STATE LICENSE
MO
05
—
602252611
—
MO
Enumeration date
11/03/2006
Last updated
10/18/2022
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