Individual provider · Type 1 NPI

Ethan Klutenkamper, PHARM D.

Pharmacist · St. Louis, MO

NPI number 1205514833 Active

Practice location

3933 S Broadway
St. Louis, MO 63118-4601

Call (314) 865-7080 Map

Mailing address

5624 Pernod Ave
St. Louis, MO 63139-1506

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2018032020 (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 1205514833

Ethan Klutenkamper, PHARM D.'s National Provider Identifier is 1205514833, issued on Jul 5, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 5, 2023.