Individual
MARK SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 MID RIVERS MALL DR, SAINT PETERS, MO 63376-2150
(636) 970-3222
Mailing address
4320 CHOUTEAU AVE # 2F, SAINT LOUIS, MO 63110-1606
(314) 757-8380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019045835
MO
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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