Individual
MENATALLA ABDELLATIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10007 KENNERLY RD STE A, SAINT LOUIS, MO 63128-2179
(314) 270-9070
Mailing address
417 GATEHALL LN, BALLWIN, MO 63011-2718
(573) 772-2190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020035092
MO
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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