Individual
MR. MELVIN EUGENE KOTTWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
101 CIVIC CENTER DR, LAKE ST LOUIS, MO 63367-3027
(636) 561-3963
(636) 561-5317
Mailing address
101 CIVIC CENTER DR, LAKE ST LOUIS, MO 63367-3027
(636) 561-3963
(636) 561-5317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40445
MO
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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