Individual
JAKUB BOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 UNION BLVD, SAINT LOUIS, MO 63113-1519
(314) 367-8211
Mailing address
1064 MCCAUSLAND AVE, SAINT LOUIS, MO 63117-1925
(708) 743-9893
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293737
IL
183500000X
Pharmacist
2009023426
MO
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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