Individual
BENJAMIN EIGENBRODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
30 WILTSHIRE CT, EDWARDSVILLE, IL 62025-3877
(618) 978-2726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2023027285
MO
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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