Organization · Type 2 NPI

State of Missouri

Long Term Care Pharmacy · St. Louis, MO

NPI number 1376682708 Active

Practice location

5300 Arsenal St
St. Louis, MO 63139-1463

Call (314) 877-6500 Map

Fax (314) 877-5982

Mailing address

1706 E Elm St
Jefferson City, MO 65101-4130

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

23 other providers at this address

Other long term care pharmacy providers in St. Louis

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NPI record

NPI: 1376682708
Entity type: Organization (Type 2)
Issued: Feb 5, 2007
Last updated: Oct 27, 2020
Status: Active
Subpart: Yes of State of Missouri

Other names

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ST Louis PRC Pharmacy · doing business as
ST Louis PRC Pharmacy · doing business as

Authorized official

Molly Jane Boeckmann
Director of Administrative Services
(573) 751-4055

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376682708

State of Missouri's National Provider Identifier is 1376682708, issued on Feb 5, 2007. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in St. Louis, MO. The record was last updated on Oct 27, 2020.