Individual
CHRISTINA TIEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 N HANLEY RD, SAINT LOUIS, MO 63134-2700
(866) 997-3688
Mailing address
675 NOTRE DAME AVE, EDWARDSVILLE, IL 62025-2626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2015036914
MO
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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