Organization
CHRISTIAN HOSPITAL NORTHEAST NORTHWEST
Active
Other names
FAMILY CARE PHARMACY AT CHRISTIAN HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KOESTERER (VICE PRESIDENT)
(314) 653-5715
Entity
Organization
Contact information
Practice address
11125 DUNN RD, SAINT LOUIS, MO 63136-6132
(314) 653-5200
(314) 653-4115
Mailing address
11125 DUNN RD, SAINT LOUIS, MO 63136-6132
(314) 653-5200
(314) 653-4115
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
005670
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051547
PK
—
05
—
436057983005
—
IL
05
—
606763514
—
MO
Enumeration date
08/22/2006
Last updated
03/18/2021
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