Christian Hospital Northeast Northwest
Pharmacy, Community/Retail Pharmacy in Saint Louis, MO. Organization (NPI-2).
NPI number1962518878
StatusActive
Last updated in NPPESMar 18, 2021
Details
- NPI
- 1962518878
- Entity type
- Organization (NPI-2)
- Legal business name
- Christian Hospital Northeast Northwest
- Organization subpart
- No
- Enumeration date
- Aug 22, 2006
- Certification date
- Mar 18, 2021
- Last updated
- Mar 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 005670 | MO | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Family Care Pharmacy At Christian Hospital (Doing Business As)
Practice location
11125 Dunn RdSaint Louis, MO 63136-6132
Phone 314-653-5200 · Fax 314-653-4115
Mailing address
11125 Dunn RdSaint Louis, MO 63136-6132
Phone 314-653-5200 · Fax 314-653-4115
Authorized official
Susan Koesterer
Vice President
3146535715
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