Individual
MARY ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 SHACKELFORD RD, FLORISSANT, MO 63031-4369
(314) 838-4660
(314) 838-4664
Mailing address
1160 SHACKELFORD RD, FLORISSANT, MO 63031-4369
(314) 497-7894
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2025037090
MO
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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