Organization
MISSOURI HEALTH INFUSION
Active
Other names
Missouri Health Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SILVA (OWNER)
(314) 396-6711
Entity
Organization
Contact information
Practice address
2319 WELDON PKWY, SAINT LOUIS, MO 63146-3207
(866) 575-7775
(314) 480-7123
Mailing address
2319 WELDON PKWY, SAINT LOUIS, MO 63146-3207
(866) 575-7775
(314) 480-7123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2015036497
MO
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154701
PK
—
Enumeration date
10/14/2015
Last updated
04/12/2017
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