Organization · Type 2 NPI

Specialty Pharmacy of St. Louis, LLC

Compounding Pharmacy · Creve Coeur, MO

NPI number 1194917773 Active

Practice location

623 N New Ballas Rd
Creve Coeur, MO 63141-6713

Fax (314) 991-5210

Specialties and licenses

TaxonomyCodeLicense
Compounding Pharmacy Primary 3336C0004X2003001140 (MO)
Specialty Pharmacy 3336S0011X2003001140 (MO)

Compounding Pharmacy: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…

Another provider at this address

About NPI 1194917773

Specialty Pharmacy of St. Louis, LLC's National Provider Identifier is 1194917773, issued on Aug 16, 2007. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Creve Coeur, MO. The record was last updated on Aug 16, 2007.