Organization
FAMILY CARE HEALTH CENTERS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN S JONES (CFO)
(314) 481-1615
Entity
Organization
Contact information
Practice address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 481-1615
(314) 353-1310
Mailing address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 481-1615
(314) 353-1310
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2003004144
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003004144
MISSOURI PHARMACY LICENSE
MO
01
—
2634978
NCPDP
MO
05
—
606023604
—
MO
Enumeration date
12/28/2005
Last updated
01/20/2026
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