Individual
LISA BEDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13655 RIVERPORT DR, MARYLAND HEIGHTS, MO 63043-4812
(618) 322-3991
(844) 243-3856
Mailing address
703 JAMIE ST, BARTELSO, IL 62218-1464
(618) 322-3991
(844) 243-3856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051298440
IL
183500000X
Pharmacist
Primary
2014023127
MO
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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