Organization
AFFINIA HEALTHCARE FERGUSON
Active
Organization
AFFINIA HEALTHCARE FERGUSON
Active
Other names
Affinia Healthcare Ferguson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CORINTHIA DARCEL JAMISON (CREDENTIALING COORDINATOR)
(314) 814-8531
Entity
Organization
Contact information
Practice address
3396 PERSHALL RD., SAINT LOUIS, MO 63135-1404
(314) 814-8700
(314) 814-8542
Mailing address
PO BOX 551, SAINT LOUIS, MO 63188-0551
(314) 814-8531
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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