Individual
DR. JENNIFER YAKOPOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4250 RUSTY RD, SAINT LOUIS, MO 63128-1973
(314) 892-6428
Mailing address
4250 RUSTY RD, SAINT LOUIS, MO 63128-1973
(314) 892-6428
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012037980
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000000000
RETAIL PHARMACIST
—
Enumeration date
11/16/2020
Last updated
11/16/2020
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