Individual
JOHN WACHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4700 N HANLEY RD STE A, SAINT LOUIS, MO 63134-2700
(866) 997-3688
Mailing address
4700 N HANLEY RD STE A, SAINT LOUIS, MO 63134-2700
(866) 997-3688
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019032458
MO
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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