Individual
JESSICA PAHNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8867 LADUE RD, SAINT LOUIS, MO 63124-2045
(314) 725-7574
Mailing address
3939 W PINE BLVD APT 310, SAINT LOUIS, MO 63108-3250
(847) 302-7538
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021033789
MO
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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