Organization
RICKLENE ENTERPRISES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE M PAULS (VICE PRESIDENT)
(314) 361-6240
Entity
Organization
Contact information
Practice address
4960 LACLEDE AVE, SAINT LOUIS, MO 63108-1404
(314) 361-6240
(314) 361-6682
Mailing address
4960 LACLEDE AVE, SAINT LOUIS, MO 63108-1404
(314) 361-6240
(314) 361-6682
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
12960519
MO
Other
Enumeration date
02/28/2006
Last updated
08/22/2020
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