Individual
KON LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 657-9006
Mailing address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 657-9006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1999140346
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999140346
MO BOARD OF PHARMACY
MO
Enumeration date
01/27/2022
Last updated
01/27/2022
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