Individual
MARIA NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12332 MANCHESTER RD, SAINT LOUIS, MO 63131-4315
(314) 965-0062
Mailing address
2748 HILDA CT, ORLANDO, FL 32826-3841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.303338
IL
183500000X
Pharmacist
2020017118
MO
183500000X
Pharmacist
Primary
PS57988
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051.303338
PHARMACIST LICENSE
IL
01
—
2020017118
PHARMACIST LICENSE
MO
01
—
PS57988
PHARMACIST LICENSE NUMBER
FL
Enumeration date
08/03/2018
Last updated
09/10/2020
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