Organization
RINDERER'S DRUG STORE #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW J CARLISLE R.PH. (PRESIDENT)
(636) 928-3957
Entity
Organization
Contact information
Practice address
12141 BELLEFONTAINE RD, SAINT LOUIS, MO 63138-1906
(314) 741-8700
Mailing address
12141 BELLEFONTAINE RD, SAINT LOUIS, MO 63138-1906
(314) 741-8700
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS0023530
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2602755
NCPDP
—
Enumeration date
04/26/2006
Last updated
08/22/2020
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