Individual
ROBERT ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 1ST CAPITOL DR, SAINT CHARLES, MO 63301-1609
(636) 524-1431
Mailing address
722 LORILLARD ST, SAINT PETERS, MO 63376-2416
(636) 524-1431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020032364
MO
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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