Individual
HEDVA LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9648 OLIVE BLVD, SUITE 309, SAINT LOUIS, MO 63132-3002
(314) 994-9409
Mailing address
9648 OLIVE BLVD, SUITE 309, SAINT LOUIS, MO 63132-3002
(314) 994-9409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
010324
KY
183500000X
Pharmacist
Primary
044347
MO
1835G0303X
Geriatric Pharmacist
010324
KY
1835G0303X
Geriatric Pharmacist
044347
MO
Other
Enumeration date
07/19/2005
Last updated
01/07/2008
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