Organization · Type 2 NPI

SSM Health Care ST Louis

Community/Retail Pharmacy · Bridgeton, MO

NPI number 1003058371 Active

Practice location

12266 Depaul Dr. Suite 105
Bridgeton, MO 63044

Fax (314) 344-6179

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	2009004862 (MO)
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1003058371
Entity type: Organization (Type 2)
Issued: Apr 1, 2009
Last updated: Oct 18, 2022
Status: Active

Other names

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SSM Health Pharmacy · doing business as
SSM Health Pharmacy · doing business as

Authorized official

Kimberly Spencer, PharmD
V.p. Pharmacy Services
(314) 989-2588

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003058371

SSM Health Care ST Louis's National Provider Identifier is 1003058371, issued on Apr 1, 2009. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bridgeton, MO. The record was last updated on Oct 18, 2022.