Organization
SSM HEALTH CARE ST. LOUIS
Active
Parent organization
SSM HEALTH CARE ST. LOUIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE ST. LOUIS
Authorized official
MR. SEAN HOGAN (PRESIDENT)
(314) 344-7208
Entity
Organization
Contact information
Practice address
12255 DE PAUL DR, BRIDGETON, MO 63044-2510
(314) 344-6000
Mailing address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
006634
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02616590
NCPDP NUMBER
—
05
—
600128409
—
MO
Enumeration date
11/09/2006
Last updated
12/02/2014
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