Individual
NATALIYA PRUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10941 OLIVE BLVD, SAINT LOUIS, MO 63141-7740
(314) 997-0555
Mailing address
1321 SCHULTE RD, SAINT LOUIS, MO 63146-5415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013034510
MO
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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