Organization
LIN-KRIS PHARMACY INC
Active
Other names
EBERHART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROY EBERHART RPH (PRES OWNER)
(314) 795-8426
Entity
Organization
Contact information
Practice address
4221 BAYLESS AVE, SAINT LOUIS, MO 63123-7513
(314) 638-1000
(314) 638-8430
Mailing address
4221 BAYLESS AVE, SAINT LOUIS, MO 63123-7513
(314) 638-1000
(314) 638-8430
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
003766
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051554
PK
—
05
—
600128300
—
MO
Enumeration date
07/17/2006
Last updated
06/01/2015
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