Individual
DR. STUART DAVID FEDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., AAHIVE
Contact information
Practice address
7150 NATURAL BRIDGE RD, SAINT LOUIS, MO 63121-5151
(314) 381-8600
(314) 381-6844
Mailing address
7150 NATURAL BRIDGE RD, SAINT LOUIS, MO 63121-5151
(314) 381-8600
(314) 381-6844
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051292647
IL
183500000X
Pharmacist
Primary
2007023343
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600201206
—
MO
Enumeration date
10/25/2011
Last updated
10/25/2011
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