Organization
MED-CARE-RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEGGY BOYD TAYLOR D.O. (OFFICE MANAGER)
(314) 993-5344
Entity
Organization
Contact information
Practice address
9352 OLIVE BLVD, SAINT LOUIS, MO 63132-3214
(314) 993-5344
Mailing address
9352 OLIVE BLVD, SAINT LOUIS, MO 63132-3214
(314) 993-5344
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R8699
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240148106
—
MO
Enumeration date
11/17/2008
Last updated
06/07/2010
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