Organization · Type 2 NPI

St. Louis Center for Preventative and Longevity Medicine

Non-Pharmacy Dispensing Site · St. Louis, MO

NPI number 1033487889 Active

Practice location

777 S New Ballas Rd, Suite 200E
St. Louis, MO 63141-8705

Mailing address

2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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About NPI 1033487889

St. Louis Center for Preventative and Longevity Medicine's National Provider Identifier is 1033487889, issued on Dec 8, 2011. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 8, 2011.