Organization
ESSE HEALTH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBASTIAN FONSECA (CREDENTIAL SPECIALIST)
(956) 379-5667
Entity
Organization
Contact information
Practice address
13303 TESSON FERRY RD STE 125, SAINT LOUIS, MO 63128-4076
(636) 323-8030
(636) 323-8050
Mailing address
13303 TESSON FERRY RD STE 125, SAINT LOUIS, MO 63128-4076
(636) 323-8030
(636) 323-8050
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
10/11/2023
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