Organization
ST LOUIS CHILDRENS HOSPITAL
Active
Other names
Family Care Pharmacy at St. Louis Children's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TRISH LOLLO (PRESIDENT)
(314) 996-8401
Entity
Organization
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6123
(314) 454-4374
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6123
(314) 454-4374
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049435
PK
—
05
—
600930903
—
MO
Enumeration date
08/23/2006
Last updated
07/20/2023
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