Individual
JEFFREY KURUVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4218 LINDELL BLVD, SAINT LOUIS, MO 63108-2916
(314) 371-4286
(314) 371-4749
Mailing address
4218 LINDELL BLVD, SAINT LOUIS, MO 63108-2916
(314) 371-4286
(314) 371-4749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2008027654
MO
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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