Individual
JOHN E KOCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12098 LUSHER RD, SAINT LOUIS, MO 63138-1302
(314) 355-0500
(314) 355-9695
Mailing address
2532 N ILLINOIS ST, SWANSEA, IL 62226-2353
(618) 236-3928
(618) 236-0493
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.293992
IL
183500000X
Pharmacist
Primary
2001024845
MO
Other
Enumeration date
09/01/2011
Last updated
12/17/2022
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