Individual
SAMER FARES ISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4218 LINDELL BLVD, SAINT LOUIS, MO 63108-2916
(314) 371-4286
Mailing address
1727 COACHWAY LN, HAZELWOOD, MO 63042-1379
(314) 281-3583
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021035903
MO
Other
Enumeration date
10/12/2021
Last updated
03/28/2024
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