Individual
MRS. NANCY MARIE JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11590 GRAVOIS RD, SAINT LOUIS, MO 63126-3612
(314) 849-6348
Mailing address
623 DOUGHERTY TERRACE DR, BALLWIN, MO 63021-5826
(636) 220-2478
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040721
MO
183500000X
Pharmacist
051-035293
IL
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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