Organization
AXIVARX OF MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN S SHAPIRO (MANAGING MEMBER/PRESIDENT)
(844) 442-9482
Entity
Organization
Contact information
Practice address
9890 CLAYTON ROAD, SUITE 220, LADUE, MO 63124
(844) 442-9482
(844) 440-0101
Mailing address
9890 CLAYTON RD STE 220, SAINT LOUIS, MO 63124-1685
(844) 442-9482
(844) 440-0101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/04/2024
Last updated
06/04/2026
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