Organization
SSM INFUSION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN H KRAEMER (EXECUTIVE DIRECTOR)
(314) 989-2512
Entity
Organization
Contact information
Practice address
11483 PAGE SERVICE DR, SAINT LOUIS, MO 63146-3529
(314) 428-0365
(314) 890-0803
Mailing address
10143 PAGET DR, SAINT LOUIS, MO 63132-2915
(314) 989-2500
(314) 989-2901
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
MO
333600000X
Pharmacy
—
MO
3336C0003X
Community/Retail Pharmacy
—
MO
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
MO
3336M0002X
Mail Order Pharmacy
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2633659
NCPDP
—
Enumeration date
07/05/2006
Last updated
03/07/2023
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