Individual
DR. MATTHEW K PITLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCPS
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(319) 330-2257
Mailing address
1819 SUMMER LAKE DR, CHESTERFIELD, MO 63017-5131
(319) 330-2257
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2008028038
MO
Other
Enumeration date
09/09/2008
Last updated
11/04/2011
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