Individual
AMANDA LEE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-2618
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020030237
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020030237
MISSOURI BOARD OF PHARMACY
MO
Enumeration date
08/18/2021
Last updated
08/18/2021
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