Individual
GARY PAUL DEFRANCESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1400 N GRAND BLVD, SAINT LOUIS, MO 63106-1309
(314) 534-3853
Mailing address
7341 WOLFRUN TRL, FAIRVIEW HEIGHTS, IL 62208-4504
(618) 628-3034
(618) 628-3035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043231
MO
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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