Individual
CHARESE SHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPP
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-0000
Mailing address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-0000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051294221
IL
1835P1300X
Psychiatric Pharmacist
Primary
2010025225
MO
Other
Enumeration date
12/02/2015
Last updated
04/02/2018
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