Organization
ST. LOUIS PHARMACEUTICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W. REESE (DIRECTOR OF PHARMACY OPERATIONS)
(832) 601-6180
Entity
Organization
Contact information
Practice address
12855 N 40 DR, SAINT LOUIS, MO 63141-8635
(314) 523-5500
Mailing address
12855 N 40 DR, SAINT LOUIS, MO 63141-8635
(314) 523-5500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2003017841
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2635160
NCPDP
MO
05
—
5737516963
—
MO
Enumeration date
06/22/2005
Last updated
08/22/2020
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