Individual
DR. DANNY EPHRAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
775 WIGGENS FERRY DR APT A, CREVE COEUR, MO 63141-6565
(573) 703-3451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013027417
MO
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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