Individual
FELICIA RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4365 CHIPPEWA ST STE 100, SAINT LOUIS, MO 63116-1606
(314) 443-9406
Mailing address
1290 WASHINGTON ST, FLORISSANT, MO 63031-4843
(314) 443-9406
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2015021728
MO
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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