Individual
SUZANNE FELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1272 TOWN AND COUNTRY CROSSING DR, T1952, CHESTERFIELD, MO 63017-0605
(636) 591-0235
(636) 591-0245
Mailing address
1272 TOWN AND COUNTRY CROSSING DR, T1952, CHESTERFIELD, MO 63017-0605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2008027466
MO
Other
Enumeration date
06/18/2011
Last updated
06/18/2011
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