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Jiajing Wang

Pharmacist in Lake St Louis, MO. Individual provider (NPI-1).

NPI number1104739341
StatusActive
Last updated in NPPESSep 28, 2026

Details

NPI
1104739341
Entity type
Individual (NPI-1)
Name
Jiajing Wang
Sole proprietor
No
Enumeration date
Sep 28, 2026
Certification date
Sep 28, 2026
Last updated
Sep 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist2026043760MOYes

Practice location

100 Medical Plz
Lake St Louis, MO 63367-1366

Phone 636-625-5200

Mailing address

31202 Pomme De Terre Dr
Lake St Louis, MO 63367-2170

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