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Organization

CARESTL HEALTH #4

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA R ARCHIBALD-CLABON CEO (CHIEF EXECUTIVE OFFICER)
(314) 367-5820
Entity
Organization

Contact information

Practice address
4500 POPE AVE, SAINT LOUIS, MO 63115
(314) 385-3990
(314) 389-2464
Mailing address
4500 POPE AVE, SAINT LOUIS, MO 63115-2512
(314) 385-3990
(314) 389-2464

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
Primary
2016012067
MO
3336M0002X
Mail Order Pharmacy
3336S0011X
Specialty Pharmacy
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
06/01/2016
Last updated
09/14/2020
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