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Individual

DR. BENJAMIN MICHAEL SCALISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
8200 S LACLEDE STATION RD, SAINT LOUIS, MO 63123-2117
(314) 660-5610
Mailing address
8200 S LACLEDE STATION RD, SAINT LOUIS, MO 63123-2117
(314) 660-5610

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021030459
MO

Other

Enumeration date
08/05/2021
Last updated
08/05/2021
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