Individual
DR. MARTHA ELIZABETH MERRILL-ELLEBRACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8867 LADUE RD, SAINT LOUIS, MO 63124-2045
(314) 725-3264
(314) 725-8534
Mailing address
8867 LADUE RD, SAINT LOUIS, MO 63124-2045
(314) 725-3264
(314) 725-8534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020027160
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020027160
BOARD OF PHARMACY
MO
Enumeration date
11/30/2020
Last updated
05/22/2023
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