Individual
KENNETH SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
60 HAMPTON VILLAGE PLZ, SAINT LOUIS, MO 63109-2127
(314) 832-7700
(314) 832-7590
Mailing address
60 HAMPTON VILLAGE PLZ, SAINT LOUIS, MO 63109-2127
(314) 832-7700
(314) 832-7590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030064
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030064
MISSOURI STATE BOARD OF PHARMACY
MO
Enumeration date
07/11/2018
Last updated
07/11/2018
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