Individual
JEANINE M BADWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
920 N MAIN ST, O FALLON, MO 63366-1746
(636) 379-2636
Mailing address
2903 POST GLEN CT, O FALLON, MO 63368-7056
(314) 359-5957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019032437
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
906495075
UNITED HEALTH CARE
—
Enumeration date
08/25/2020
Last updated
08/25/2020
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