Organization
ST CLAIR REXALL DRUG STORE
Active
Other names
St. Clair Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ELIZABETH LINDEMANN RPH (PRESIDENT)
(636) 629-0710
Entity
Organization
Contact information
Practice address
855 N COMMERCIAL AVE, SAINT CLAIR, MO 63077-1118
(636) 629-0710
(636) 629-4408
Mailing address
855 N COMMERCIAL AVE, SAINT CLAIR, MO 63077-1118
(636) 629-0710
(636) 629-4408
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
002865
MO
333600000X
Pharmacy
2865
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2610271
NABP
MO
05
—
600245104
—
MO
05
—
620245100
—
MO
Enumeration date
11/01/2005
Last updated
08/02/2022
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