Organization
DEDICATED MISSOURI HOLDING, LLC
Active
Parent organization
DEDICATED MISSOURI HOLDING, LLC
Other names
Dedicated Senior Medical Center Page Boulevard
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEDICATED MISSOURI HOLDING, LLC
Authorized official
MARY CHEN (OWNER)
(305) 628-6117
Entity
Organization
Contact information
Practice address
3649 PAGE BLVD, SAINT LOUIS, MO 63113-3807
(314) 328-0144
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5710
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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