Organization
AFFINIA HEALTHCARE
Active
Organization
AFFINIA HEALTHCARE
Active
Other names
Affinia Healthcare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN FREEMAN (PRESIDENT AND CEO)
(314) 814-8511
Entity
Organization
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8638
(314) 814-8643
Mailing address
2524 HADLEY ST, SAINT LOUIS, MO 63106-4019
(314) 814-8638
(314) 814-8643
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
2005037282
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049150
PK
—
05
—
600400709
—
MO
Enumeration date
07/14/2006
Last updated
09/27/2021
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