Provider Information for 1235245143
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MISSOURI BAPTIST MED CNTR FMLY CRE PHRMCY SUNSET HILLS
Other Names:Doing Business As:FAMILY CARE PHARMACY SSHOrganization Subpart: NO
NPI: 1235245143
Last Updated: 2008-02-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1235245143 | ||||||||||||||||
| Enumeration Date | 2006-08-22 | ||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Authorized Official Information | Name: Mrs. KAREN S GUENTHER RPh Title: Pharmacy Supervisor Phone: 3145250415 | ||||||||||||||||
| Mailing Address | 3844 S LINDBERGH BLVD SAINT LOUIS, MO 63127-1368 United States Phone: 314-525-0415 | Fax: | ||||||||||||||||
| Primary Practice Address | 3844 S LINDBERGH BLVD SAINT LOUIS, MO 63127-1368 United States Phone: 314-525-0415 | Fax:314-525-0401 | ||||||||||||||||
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