Individual provider · Type 1 NPI

Gregory D. Mudd

Pharmacist · St. Louis, MO

NPI number 1205107778 Active

Practice location

630 N Mcknight Rd
St. Louis, MO 63132-4911

Call (314) 991-3402 Map

Mailing address

7900 Gannon Ave
University City, MO 63130-3707

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	29144 (MO)
Pharmacist	183500000X	RPH30847 (CA)

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…

3 other providers at this address

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About NPI 1205107778

Gregory D. Mudd's National Provider Identifier is 1205107778, issued on Jan 15, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 15, 2012.