Individual
DR. NIMITA THEKKEPAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D., MBA
Contact information
Practice address
9568 CHANCELORSVILLE DRIVE, ST. LOUIS, MO 63126-3311
(540) 664-5371
Mailing address
9568 CHANCELORSVILLE DR, SAINT LOUIS, MO 63126-3311
(540) 664-5371
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
0202206608
VA
1835P1200X
Pharmacotherapy Pharmacist
Primary
2006031391
MO
Other
Enumeration date
10/22/2005
Last updated
07/08/2007
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