Individual
CHRISTIN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6083 MID RIVERS MALL DR, SAINT PETERS, MO 63304-1108
(636) 498-6550
Mailing address
3017 LYME ST, SAINT CHARLES, MO 63301-0331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2024024344
MO
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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