Organization
BJC BEHAVIORAL HEALTH
Active
Other names
BJC BEHAVIORAL HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARTIN-DAVIS (PRESIDENT)
(314) 206-3712
Entity
Organization
Contact information
Practice address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3738
(314) 206-3604
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3738
(314) 206-3604
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
2009017417
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051183
PK
—
05
—
603805607
—
MO
Enumeration date
08/23/2006
Last updated
11/13/2023
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