Organization
WASHINGTON UNIVERSITY
Active
Other names
Washington University Cancer Center Pharmacy-South County
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON PETERS (PHARMACY DIRECTOR)
(314) 747-2472
Entity
Organization
Contact information
Practice address
5225 MIDAMERICA PLZ, SAINT LOUIS, MO 63129-0002
(314) 286-1929
(314) 286-1788
Mailing address
5225 MIDAMERICA PLZ, SAINT LOUIS, MO 63129-0002
(314) 286-1929
(314) 286-1788
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2012041103
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2640806
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/24/2012
Last updated
12/24/2012
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