Organization
EXPRESS SCRIPTS SPECIALTY DIST SVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN PEPPERS (ASSISTANT SECRETARY)
(513) 858-4916
Entity
Organization
Contact information
Practice address
4600 N HANLEY RD STE B, SAINT LOUIS, MO 63134-2715
(314) 587-4050
Mailing address
21162 NETWORK PL, CHICAGO, IL 60673-1238
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
2000168119
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2633611
OTHER ID NUMBER COMMERCIAL NUMBER
—
Enumeration date
10/19/2006
Last updated
05/10/2023
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