Individual
ANNE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11420 LACKLAND RD, SAINT LOUIS, MO 63146-3561
(314) 546-2367
Mailing address
116 PARK AVE, KIRKWOOD, MO 63122-4514
(314) 546-2367
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2017026871
MO
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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