Ssm Pharmacy @ Depaul in Bridgeton - Pharmacist

Ssm Pharmacy @ Depaul - NPI 1699861674

Ssm Pharmacy @ Depaul is a Pharmacist in Bridgeton, Missouri. Ssm Pharmacy @ Depaul practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Ssm Pharmacy @ Depaul is 1699861674. The last update date is 2020-08-22.

Ssm Pharmacy @ Depaul's current location address is 12255 De Paul Dr Ste 120, Bridgeton, Missouri. You can contact this provider via phone number 3143447300 and fax number 3143446179. The mailing address for Ssm Pharmacy @ Depaul is 12255 De Paul Dr Ste 120, Bridgeton, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ssm Pharmacy @ Depaul
Address 12255 De Paul Dr Ste 120, Bridgeton, Missouri
Phone Number 3143447300
Fax Number 3143446179
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANGER/PIC
Authorized Official Name Arens Bradley
Credentials RPH
Telephone Number 3143447300

NPI Number Detail

NPI Number 1699861674
Provider Enumeration Date 2006-10-05
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 12255 De Paul Dr Ste 120
City Bridgeton
State Missouri (MO)
Post Code 630442513
Phone Number 3143447300
Fax Number 3143446179

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 42638
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

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FAQs about Ssm Pharmacy @ Depaul

What is the unique 10-digit identification code assigned to Ssm Pharmacy @ Depaul by the Centers for Medicare & Medicaid Services?

The Ssm Pharmacy @ Depaul has been issued the NPI (National Provider Identifier) 1699861674, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Ssm Pharmacy @ Depaul is geographically located?

The Ssm Pharmacy @ Depaul is physically situated at the following location: 12255 De Paul Dr Ste 120, Bridgeton, MO, 630442513.

What is Ssm Pharmacy @ Depaul's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ssm Pharmacy @ Depaul's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.

On what date did the Ssm Pharmacy @ Depaul receive the assignment of its 1699861674 from the Centers for Medicare & Medicaid Services?

The Ssm Pharmacy @ Depaul was issued its 1699861674 by the Centers for Medicare & Medicaid Services on 2006-10-05.

As of what date were the details related to Ssm Pharmacy @ Depaul most recently updated or revised?

The information pertaining to Ssm Pharmacy @ Depaul, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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