Individual
MARK SLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(309) 663-8852
Mailing address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
051295174
IL
Other
Enumeration date
03/08/2012
Last updated
04/29/2026
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