Individual
PAUL G PERNICIARO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2209 SYCAMORE DR, CHESTERFIELD, MO 63017-7221
(636) 391-7555
(636) 391-7555
Mailing address
2209 SYCAMORE DR, CHESTERFIELD, MO 63017-7221
(636) 391-7555
(636) 391-7555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
040586
MO
183500000X
Pharmacist
—
IL
1835P1200X
Pharmacotherapy Pharmacist
040586
MO
1835P1200X
Pharmacotherapy Pharmacist
—
IL
1835P1300X
Psychiatric Pharmacist
040586
MO
1835P1300X
Psychiatric Pharmacist
Primary
—
IL
Other
Enumeration date
06/14/2005
Last updated
09/11/2025
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