Individual
SAMUEL SUNQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12921 ENTERPRISE WAY, BRIDGETON, MO 63044-1206
(314) 344-9604
Mailing address
12921 ENTERPRISE WAY, BRIDGETON, MO 63044-1206
(314) 344-9604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2015024630
MO
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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