Individual
DR. JESSICA J WOOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6071 TELEGRAPH RD, SAINT LOUIS, MO 63129-4758
(314) 846-9265
Mailing address
3 ALGONQUIN LN, POCAHONTAS, IL 62275-3094
(314) 413-8414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2017035310
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017035310
LICENSE NUMBER
MO
Enumeration date
08/12/2020
Last updated
08/12/2020
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