Organization
SSM HEALTH CARE ST. LOUIS
Active
Other names
SSM Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SPENCER (V.P. PHARMACY SERVICES)
(314) 989-2588
Entity
Organization
Contact information
Practice address
711 VETERANS MEMORIAL PARKWAY SUITE 102, ST. CHALRES, MO 63303-2106
(636) 669-2223
(636) 669-2222
Mailing address
711 VETERANS MEMORIAL PARKWAY SUITE 102, ST. CHARLES, MO 63303
(636) 443-2406
(636) 669-2222
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
005663
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049385
PK
—
05
—
600284905
—
MO
Enumeration date
12/08/2006
Last updated
10/18/2022
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