Organization
FORUM CENTER PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK ALLEN LEVISON (OWNER PRESIDENT)
(636) 532-1646
Entity
Organization
Contact information
Practice address
67 FORUM SHOPPING CENTER, CHESTERFIELD, MO 63017-3006
(314) 434-2544
(314) 434-0689
Mailing address
67 FORUM SHOPPING CENTER, CHESTERFIELD, MO 63017-3006
(314) 434-2544
(314) 434-0689
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10818154
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2605511
NABP
—
Enumeration date
02/13/2007
Last updated
08/22/2020
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