Organization
MIDWEST LONG TERM CARE SERVICES LLC
Active
Other names
Senior Scripts
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LASHBROOK (DIRECTOR OF PHARMACY)
(636) 534-6800
Entity
Organization
Contact information
Practice address
739 GODDARD AVE, CHESTERFIELD, MO 63005-1106
(636) 534-6800
(636) 534-6797
Mailing address
739 GODDARD AVE, CHESTERFIELD, MO 63005-1106
(636) 534-6800
(636) 534-6797
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
1999135462
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048282
PK
—
05
—
604730408
—
MO
Enumeration date
08/10/2006
Last updated
12/02/2016
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