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Organization

SALON RX, LLC

Active
Other names
Houston Mont Claire
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYNTHIA DELORES MCCREA (OWNER)
(314) 583-5273
Entity
Organization

Contact information

Practice address
4306 COOK AVE, SAINT LOUIS, MO 63113-2808
(314) 583-5273
(314) 583-5273
Mailing address
4306 COOK AVE, SAINT LOUIS, MO 63113-2808
(314) 583-5273
(314) 219-4077

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22252673
DME
MO
Enumeration date
11/14/2006
Last updated
07/21/2022
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