Individual
DR. JAMES PRESTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD,BCPS,RPHWMTS
Contact information
Practice address
915 N. GRAND VLVD, PHARMACY DEPT., JOHN COCHRAN VA MEDICAL CENTER, SAINT LOUIS, MO 63106
(314) 330-3562
Mailing address
915 N. GRAND VLVD, PHARMACY DEPT., JOHN COCHRAN VA MEDICAL CENTER, SAINT LOUIS, MO 63106
(314) 330-3562
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
041512
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041512
RPH W/MTS
MO
01
—
17043
RPH
IA
01
—
294160
BCPS
DC
01
—
294160
RPH
IL
Enumeration date
11/19/2015
Last updated
11/19/2015
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