Organization
FOUNDATION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DAWN CICCOLELLA-KAHL (PRESIDENT, DIRECTOR)
(800) 511-5144
Entity
Organization
Contact information
Practice address
111 CHESTERFIELD INDUSTRIAL BLVD STE 115, CHESTERFIELD, MO 63005-1219
(877) 291-1122
(877) 291-1155
Mailing address
PO BOX 955362, SAINT LOUIS, MO 63195-5362
(855) 422-2742
(866) 834-8523
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
05/22/2024
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