Organization
ST LOUIS CONNECTCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE J MEADOWS RPH (DIRECTOR OF PHARMACY)
(314) 879-6389
Entity
Organization
Contact information
Practice address
5535 DELMAR BLVD, SAINT LOUIS, MO 63112-3005
(314) 879-6208
(314) 879-6323
Mailing address
5535 DELMAR BLVD, SAINT LOUIS, MO 63112-3005
(314) 879-6208
(314) 879-6323
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
2005036004
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2631477
NDPD
MO
Enumeration date
10/24/2006
Last updated
06/20/2008
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