Organization
SSM CARDINAL GLENNON CHILDRENS HOSPITAL
Active
Parent organization
SSM HEALTHCARE ST. LOUIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE ST. LOUIS
Authorized official
KIMBERLY SPENCER (V.P. PHARMACY SERVICES)
(314) 989-2588
Entity
Organization
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5683
(314) 268-4069
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
006069
MO
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2614217
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
430718920003
—
IL
05
—
600155808
—
MO
Enumeration date
10/02/2006
Last updated
10/18/2022
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