Organization
KRUMMENACHER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER LIEBERMAN PHARMACIST (OWNER)
(314) 432-2727
Entity
Organization
Contact information
Practice address
11020 OLIVE BLVD, SAINT LOUIS, MO 63141-7615
(314) 432-2727
(314) 432-5279
Mailing address
11020 OLIVE BLVD, SAINT LOUIS, MO 63141-7615
(314) 432-2727
(314) 432-5279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
026126
MO
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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