Individual
MS. SUSAN CHRISTIAN WEILBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6339
Mailing address
136 GILMORE LAKE RD, COLUMBIA, IL 62236-3304
(618) 281-8166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040891
MO
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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