Individual
STEPHANIE RENEA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10741 W FLORISSANT AVE, SAINT LOUIS, MO 63136-2403
(314) 521-2230
Mailing address
10741 W FLORISSANT AVE, SAINT LOUIS, MO 63136-2403
(314) 521-2230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.303663
IL
183500000X
Pharmacist
Primary
2008017698
MO
183500000X
Pharmacist
PD10108
AR
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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