Individual
LAUREN HEIMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15390 NEW HALLS FERRY, FLORISSANT, MO 63031
(314) 831-9916
Mailing address
15390 NEW HALLS FERRY, FLORISSANT, MO 63031
(314) 831-9916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011026583
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
603942905
—
MO
Enumeration date
10/24/2011
Last updated
10/24/2011
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