Individual
MIRIAM BISADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13144 ROYAL PINES DR, SAINT LOUIS, MO 63146-2251
(314) 680-2571
Mailing address
10650 OLIVE BLVD, SAINT LOUIS, MO 63141-7834
(314) 680-2571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2023006512
MO
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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