Individual
MERWYN BRADLEY KIMBLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10070 GRAVOIS RD, SAINT LOUIS, MO 63123-4024
(314) 631-6781
Mailing address
10070 GRAVOIS RD, SAINT LOUIS, MO 63123-4024
(314) 631-6781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029617
MO
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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