Organization
PHARMALOOP
Active
Other names
Van's Delivery Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YERVAND SIMONYAN PHARMD (PHARMACIST/OWNER)
(314) 200-6500
Entity
Organization
Contact information
Practice address
3229 LEMAY FERRY RD, SAINT LOUIS, MO 63125-4419
(314) 200-6500
(314) 529-1717
Mailing address
3229 LEMAY FERRY RD, SAINT LOUIS, MO 63125-4419
(314) 200-6500
(314) 529-1717
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2015038822
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155458
PK
—
Enumeration date
11/19/2015
Last updated
03/09/2022
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