Organization
ST JOHNS MERCY MEDSCRIPT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM E EDELSTEIN MBA (VICE PRESIDENT OF OPERATIONS)
(314) 729-4668
Entity
Organization
Contact information
Practice address
13185 LAKEFRONT DR, SUITE 100, EARTH CITY, MO 63045-1510
(314) 506-6066
(314) 506-6067
Mailing address
13185 LAKEFRONT DR, SUITE 100, EARTH CITY, MO 63045-1510
(314) 506-6066
(314) 506-6067
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2000175014
MO
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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