Individual
MAUREEN TELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 894-6502
Mailing address
10345 TOPAZ SPRING DR, SAINT LOUIS, MO 63123-6272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40182
MO
Other
Enumeration date
04/05/2006
Last updated
03/04/2008
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