St Lukes Episcopal Presbyterian Hospital
Pharmacy, Community/Retail Pharmacy in O Fallon, MO. Organization (NPI-2).
NPI number1619968096
StatusActive
Last updated in NPPESOct 12, 2015
Details
- NPI
- 1619968096
- Entity type
- Organization (NPI-2)
- Legal business name
- St Lukes Episcopal Presbyterian Hospital
- Organization subpart
- No
- Enumeration date
- Nov 3, 2005
- Last updated
- Oct 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 2008006746 | MO | Yes |
Other names
- St Lukes Pharmacy Winghaven (Doing Business As)
Practice location
5551 Winghaven BlvdSte 120
O Fallon, MO 63368-3617
Phone 636-695-2555 · Fax 636-695-2556
Mailing address
5551 Winghaven BlvdSte 120
O Fallon, MO 63368-3617
Phone 636-695-2555 · Fax 636-695-2556
Authorized official
Richard Fook
Dir Of Phcy Serv
3142056291
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