Individual
MR. PETE ANTHONY LO GRASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2971 SYLVAN LN, SAINT CHARLES, MO 63301-0384
(636) 947-6072
Mailing address
2971 SYLVAN LANE, SAINT CHARLES, MO 63301
(636) 947-6072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
026943
MO
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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