Organization
SAM'S CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIRAH SHAFFIQ DAY (PHARMACIST)
(314) 522-3420
Entity
Organization
Contact information
Practice address
10735 W FLORISSANT AVE, SAINT LOUIS, MO 63136-2403
(314) 522-3420
Mailing address
4528 FORDER OAKS DR, SAINT LOUIS, MO 63129-7103
(314) 229-0984
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2013026228
MO
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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