Organization
BJC BEHAVIORAL HEALTH
Active
Parent organization
BJC BEHAVIORAL HEALTH
Other names
BJC Behavioral Southeast Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BJC BEHAVIORAL HEALTH
Authorized official
ANGELA MARTIN-DAVIS (PRESIDENT)
(314) 206-3712
Entity
Organization
Contact information
Practice address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 756-5353
Mailing address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 756-5353
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/04/2013
Last updated
08/18/2023
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