Organization
RINDERER'S DRUG STORE #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JAY CARLISLE R.PH. (PRESIDENT)
(636) 928-3957
Entity
Organization
Contact information
Practice address
4447 NATURAL BRIDGE AVE, SAINT LOUIS, MO 63115-2626
(314) 381-0501
Mailing address
4447 NATURAL BRIDGE AVE, SAINT LOUIS, MO 63115-2626
(314) 381-0501
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS000409
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2602793
NCPDP
—
Enumeration date
11/01/2005
Last updated
08/22/2020
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