Individual
DR. UDE UCHE UDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
118A EDNA, WAYNESVILLE, MO 65583-7875
(314) 600-5329
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
2013031924
MO
1835P2201X
Ambulatory Care Pharmacist
Primary
2013031924
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013031924
STATE LICENSE
MO
Enumeration date
03/16/2018
Last updated
03/20/2026
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