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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