Individual
MICHELLE HERTELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
4921 PARKVIEW PLAVE, ST. LOUIS, MO 63110
(314) 454-7666
(314) 747-9920
Mailing address
912 LA'CHERIE, BALLWIN, MO 63021
(636) 861-0002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043750
MO
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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