Individual
LEE DAVID KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7922 MACKENZIE RD, AFFTON, MO 63123-2721
(314) 638-3535
Mailing address
8640 COMMERCIAL BLVD, PEVELY, MO 63070-1529
(636) 479-6100
(636) 479-6101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2024040264
MO
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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