Individual
MR. DAVID BURTON HAENNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6411 GRAVOIS AVE, SAINT LOUIS, MO 63116-1123
(314) 832-3650
Mailing address
6411 GRAVOIS AVE, SAINT LOUIS, MO 63116-1123
(314) 832-3650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040553
MO
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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