Individual
JOSHUA BANGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4365 CHIPPEWA ST STE 100, SAINT LOUIS, MO 63116-1606
(314) 832-2480
Mailing address
453 S CLAY AVE APT B, KIRKWOOD, MO 63122-5854
(636) 484-3235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012025453
MO
Other
Enumeration date
11/02/2010
Last updated
02/23/2023
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