Individual
STANLEY DALE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
2101 DETTMER PL, FLORISSANT, MO 63031-8526
(314) 921-1787
Mailing address
2101 DETTMER PLACE, FLORISSANT, MO 63031
(314) 921-1787
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
29154
MO
Other
Enumeration date
05/04/2007
Last updated
02/11/2010
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