Olive Street Pharmacy Llc

NPI 1104249168 - Pharmacy - 333600000X

NPI Details
NPI 1104249168
Enumeration Date 01/28/2014
Last Updated 01/28/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name IRINA IRINA
Position MEMBER
Phone (314) 504-0404
Fax (636) 728-0207
Practice Location
10420 OLD OLIVE STREET RD
CREVE COEUR MO, 63141-5914, US
Phone (314) 504-0404
Fax (636) 728-0207
Business Location
10420 OLD OLIVE STREET RD
CREVE COEUR MO, 63141-5914, US
Phone (314) 504-0404
Fax (636) 728-0207
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Olive Street Pharmacy Llc NPI is 1104249168, taxonomy code is 333600000X Olive Street Pharmacy Llc physically located at 10420 Old Olive Street Rd, Creve Coeur MO, 63141-5914. NPI Number 1033115704 has the healthcare provider type.

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1104249168 NPI number is provided on an as is basis without warranty of any kind. 1104249168 is maintained by the National Plan & Provider Enumeration System. The contents of Olive Street Pharmacy Llc are for informational purposes only.