Organization
DELLWOOD PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MAWUENYEGA (OWNER/MANAGER)
(314) 607-2603
Entity
Organization
Contact information
Practice address
9944 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1432
(314) 868-3333
Mailing address
9944 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1432
(314) 868-3333
(314) 867-2330
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
03/28/2022
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