Individual
EUGENE COOSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
5050 LEMAY FERRY RD, SAINT LOUIS, MO 63129-1571
(314) 416-1539
(314) 416-1658
Mailing address
5050 LEMAY FERRY RD, SAINT LOUIS, MO 63129-1571
(314) 416-1539
(314) 416-1658
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029063
MO
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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