Individual
SEAN MICHAEL HUKENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9801 MANCHESTER RD, SAINT LOUIS, MO 63119-1227
(314) 963-3256
Mailing address
9279 CONFEDERACY DR APT G, SAINT LOUIS, MO 63126-3327
(314) 471-7304
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2015025174
MO
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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