Individual
MR. CARL T GRAHAM SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6339
Mailing address
1028 SARATOGA SPRINGS CT, FLORISSANT, MO 63034-3501
(341) 838-7280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040225
MO
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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