Individual
JAICY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6733 CLAYTON RD, RICHMOND HEIGHTS, MO 63117-1603
(314) 721-6013
Mailing address
6733 CLAYTON RD, RICHMOND HEIGHTS, MO 63117-1603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020035863
MO
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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