Organization
AXIVARX OF MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN STACY SHAPIRO (MANAGING MEMBER)
(561) 955-0920
Entity
Organization
Contact information
Practice address
9890 CLAYTON ROAD, SUITE 220, LADUE, MO 63124
(844) 442-9482
(844) 440-0101
Mailing address
9890 CLAYTON ROAD, SUITE 220, LADUE, MO 63124
(844) 442-9482
(844) 440-0101
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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