Individual
GARY FRANK SOBOCINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4033 SOVEREIGN COURT, BALLWIN, MO 63011
(314) 369-8013
Mailing address
3274 BRIDGEPORT PLACE DR, BRIDGETON, MO 63044-3344
(314) 770-0440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0029437
MO
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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