Individual provider · Type 1 NPI

Andrew Wayne Stine

Pharmacist · Lake St. Louis, MO

NPI number 1134720675 Active

Practice location

6100 Ronald Reagan Dr
Lake St. Louis, MO 63367-2660

Call (479) 420-1320 Map

Mailing address

1402 Homestead Valley Dr
Wildwood, MO 63005-8446

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	043655 (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…

5 other providers at this address

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About NPI 1134720675

Andrew Wayne Stine's National Provider Identifier is 1134720675, issued on Nov 2, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Nov 2, 2020.