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Individual

JENNIFER L PRATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
530 MID RIVERS MALL DR, SAINT PETERS, MO 63376-2150
(636) 970-3222
Mailing address
3497 TECHNOLOGY DR, LAKE ST LOUIS, MO 63367-2599
(636) 625-0691
(636) 625-0694

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2005011053
MO

Other

Enumeration date
09/26/2011
Last updated
05/02/2022
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