Organization
HUNT FITZ DRUG, INC.
Active
Other names
Keller Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA K. WEAVER RPH (OWNER/PHARMACIST IN CHARGE)
(314) 352-5201
Entity
Organization
Contact information
Practice address
5346 DEVONSHIRE AVE, SAINT LOUIS, MO 63109-2304
(314) 352-5201
(314) 352-5205
Mailing address
5346 DEVONSHIRE AVE, SAINT LOUIS, MO 63109-2304
(314) 352-5201
(314) 352-5205
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
MO5619
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601425903
—
MO
Enumeration date
07/04/2006
Last updated
08/21/2015
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