Individual
MR. MICHAEL JOHN SITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
7339 GRAVOIS AVE, WALGREENS #3906, SAINT LOUIS, MO 63116-1040
(314) 752-0722
(314) 752-0226
Mailing address
7339 GRAVOIS AVE, WALGREENS #3906, SAINT LOUIS, MO 63116-1040
(314) 752-0722
(314) 752-0226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029435
MO
183500000X
Pharmacist
051031158
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932116944
NPI NUMBER
MO
01
—
2630970
NABP NUMBER
MO
01
—
361924025
TAX ID
MO
Enumeration date
09/21/2011
Last updated
03/07/2023
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