Individual
JACLYN MARIE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4140 S BROADWAY, SAINT LOUIS, MO 63118-4604
(314) 832-4995
(314) 832-6636
Mailing address
2227 JULES ST, SAINT LOUIS, MO 63104-2715
(618) 910-4486
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051296928
IL
183500000X
Pharmacist
Primary
2014006413
MO
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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