Organization
DES PERES HEALTHMART PHARMACY LLC
Active
Other names
Des Peres HealthMart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CORDES (PHARMACY MANAGER)
(314) 965-7800
Entity
Organization
Contact information
Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 965-7800
(314) 965-7802
Mailing address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 965-7800
(314) 965-7802
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0339
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2639548
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/08/2010
Last updated
10/04/2011
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