Organization
ST LUKES EPISCOPAL PRESBYTERIAN HOSPITAL
Active
Other names
ST LUKES PHARMACY WINGHAVEN
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD FOOK (DIR OF PHCY SERV)
(314) 205-6291
Entity
Organization
Contact information
Practice address
5551 WINGHAVEN BLVD, STE 120, O FALLON, MO 63368-3617
(636) 695-2555
(636) 695-2556
Mailing address
5551 WINGHAVEN BLVD, STE 120, O FALLON, MO 63368-3617
(636) 695-2555
(636) 695-2556
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2008006746
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050270
PK
—
05
—
600567515
—
MO
Enumeration date
11/03/2005
Last updated
10/12/2015
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