Individual
MR. ROBERT KIENTZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM IN CHARGE
Contact information
Practice address
9628 MIDLAND BLVD, SAINT LOUIS, MO 63114-3353
(314) 423-2000
(314) 429-7704
Mailing address
9628 MIDLAND BLVD, SAINT LOUIS, MO 63114-3353
(314) 423-2000
(314) 429-7704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41001
MO
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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