Organization
ALEXIAN BROTHERS COMM SVCS PHARMACY
Active
Other names
ALEXIAN BROTHERS COMMUNITY SERVICES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDA PULLEY (PHARMACY DIRECTOR)
(314) 771-5800
Entity
Organization
Contact information
Practice address
3900 S GRAND BLVD, SAINT LOUIS, MO 63118-3414
(314) 771-5800
(314) 771-6819
Mailing address
3900 S GRAND BLVD, SAINT LOUIS, MO 63118-3414
(314) 771-5800
(314) 771-6819
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
006607
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2633154
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
894768001
—
MO
Enumeration date
10/01/2010
Last updated
10/01/2010
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