Individual provider · Type 1 NPI

Mario Everardo Coronado, RPH

Pharmacist · Ballwin, MO

NPI number 1538446554 Active

Practice location

731 Rockridge Dr
Ballwin, MO 63021-6615

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X042517 (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 1538446554

Mario Everardo Coronado, RPH's National Provider Identifier is 1538446554, issued on Nov 4, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Ballwin, MO. The record was last updated on Nov 4, 2011.