Organization
TPD PHARMACY
Active
Other names
TPD Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY REED PODIATRIST (OWNER)
(314) 381-2224
Entity
Organization
Contact information
Practice address
5937 W FLORISSANT AVE STE 1, SAINT LOUIS, MO 63136-4952
(314) 381-2224
(314) 381-1771
Mailing address
5937 W FLORISSANT AVE STE 1, SAINT LOUIS, MO 63136-4952
(314) 381-2224
(314) 381-1771
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2017010896
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168841
PK
—
05
—
600052707
—
MO
Enumeration date
04/11/2017
Last updated
07/27/2018
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