Individual
MRS. JAN MARIE LIBERSON-HELFERSTAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
10700 PAGE AVE, SAINT LOUIS, MO 63132-1016
(314) 447-1804
Mailing address
10700 PAGE AVE, SAINT LOUIS, MO 63132-1016
(314) 447-1804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041799
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041799
MISSOURI PHARMACY BOARD
MO
Enumeration date
08/28/2007
Last updated
09/13/2011
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