Organization
CORUM HEALTH SERVICES, INC.
Active
Other names
Corum Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN KENNETH HEBEL RPH (EXECUTIVE DIRECTOR)
(636) 733-7300
Entity
Organization
Contact information
Practice address
14805 N OUTER 40 RD, SUITE 140, CHESTERFIELD, MO 63017-6060
(636) 733-7300
(636) 733-7334
Mailing address
14805 N OUTER 40 RD STE 140, CHESTERFIELD, MO 63017-6060
(636) 733-7300
(636) 733-7334
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
005711
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
607781606
—
MO
Enumeration date
09/16/2005
Last updated
07/22/2022
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