Individual
MISS KAITLEN NICOLE SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60611
TX
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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