Individual
DAVID LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 N HANLEY RD, SAINT LOUIS, MO 63134-2715
(314) 522-5758
Mailing address
1060 THORNBURY PL, O FALLON, IL 62269-6817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.295063
IL
183500000X
Pharmacist
Primary
2011021861
MO
Other
Enumeration date
12/24/2011
Last updated
01/04/2017
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