Individual
DR. SERGIO BARRANCO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3171 RIVERPORT TECH CENTER DR, MARYLAND HEIGHTS, MO 63043-4825
(314) 627-6121
(314) 983-0143
Mailing address
10275 CLAYTON RD, SAINT LOUIS, MO 63124-1115
(314) 477-4532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2016019830
MO
Other
Enumeration date
07/12/2018
Last updated
09/01/2022
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