Individual
AJLA DEDIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10070 GRAVOIS RD, SAINT LOUIS, MO 63123-4024
(314) 631-6781
(314) 631-6782
Mailing address
10070 GRAVOIS RD, SAINT LOUIS, MO 63123-4024
(314) 631-6781
(314) 631-6782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013027424
MO
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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