Individual
TARA L WESSELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8931 SPRINGDALE AVE, STE A, SAINT LOUIS, MO 63134-2400
(800) 332-5455
Mailing address
8931 SPRINGDALE AVE, STE A, SAINT LOUIS, MO 63134-2400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045014
MO
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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