Organization
MEDICAL WEST RESPIRATORY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SANDLER (MANAGING PARTNER)
(314) 993-7920
Entity
Organization
Contact information
Practice address
440 SOUTH BRENTWOOD BLVD, CLAYTON, MO 63105
(314) 290-0333
Mailing address
9301 DIELMAN INDUSTRIAL DR, SAINT LOUIS, MO 63132-2204
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
LC001502307
MO
Other
Enumeration date
10/05/2016
Last updated
10/28/2016
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