Individual
MR. MARK RANDALL BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
12595 OLIVE BLVD, SAINT LOUIS, MO 63141-6311
(314) 542-2194
(636) 530-3015
Mailing address
12595 OLIVE BLVD, SAINT LOUIS, MO 63141-6311
(314) 542-2194
(636) 530-3015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040400
MO
183500000X
Pharmacist
051.038302
IL
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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