Individual
MATTHEW LUECHTEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7339 GRAVOIS AVE, SAINT LOUIS, MO 63116-1040
(314) 752-0722
Mailing address
7339 GRAVOIS AVE, SAINT LOUIS, MO 63116-1040
(314) 752-0722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2010025208
MO
Other
Enumeration date
10/19/2011
Last updated
06/17/2012
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