Individual provider · Type 1 NPI

Jiajing Wang

Pharmacist · Lake St. Louis, MO

NPI number 1104739341 Active

Practice location

100 Medical Plz
Lake St. Louis, MO 63367-1366

Call (636) 625-5200 Map

Mailing address

31202 Pomme De Terre Dr
Lake St. Louis, MO 63367-2170

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2026043760 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104739341

Jiajing Wang's National Provider Identifier is 1104739341, issued on Sep 28, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Sep 28, 2026.