Organization
SSM HEALTH CARE ST LOUIS
Active
Other names
SSM Health Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY FOTHERINGHAM (REGIONAL PRESIDENT)
(557) 203-4048
Entity
Organization
Contact information
Practice address
3662 PARK AVE STE 155, SAINT LOUIS, MO 63110-2512
(855) 847-3553
(855) 847-3558
Mailing address
3662 PARK AVE STE 155, SAINT LOUIS, MO 63110-2512
(833) 354-2223
(833) 354-2219
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/25/2026
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