Organization
WASHINGTON UNIVERSITY
Active
Other names
Quadrangle Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HARP (DIRECTOR OF ADMINISTRATION)
(314) 935-6649
Entity
Organization
Contact information
Practice address
6643 SHEPLEY DR, HABIF HEALTH AND WELLNESS CENTER, SAINT LOUIS, MO 63105-2354
(314) 935-6662
(314) 935-8515
Mailing address
1 BROOKINGS DR, CB 1201, SAINT LOUIS, MO 63130-4862
(314) 935-6662
(314) 935-8515
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
2009009737
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120619
PK
—
Enumeration date
06/19/2009
Last updated
03/15/2017
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