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Organization

1101A NORTH JEFFERSON PHARMACY LLC

Active
Other names
Boca Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDRA JAMRON (MANAGING MEMBER)
(636) 242-8844
Entity
Organization

Contact information

Practice address
1101A N JEFFERSON AVE, SAINT LOUIS, MO 63106-2222
(636) 242-8844
(636) 242-8822
Mailing address
231 S BEMISTON AVE STE 850, SAINT LOUIS, MO 63105-1920
(636) 242-8844
(636) 242-8822

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
06/17/2024
Last updated
06/17/2024
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