Individual provider · Type 1 NPI

Justin Clarke Liedke, PharmD

Pharmacist · Troy, MO

NPI number 1639787328 Active

Practice location

100 Jason Dr
Troy, MO 63379-1944

Call (636) 462-5901 Map

Mailing address

1172 Warm Winds Dr
O Fallon, MO 63366-6305

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2020018825 (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…

7 other providers at this address

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About NPI 1639787328

Justin Clarke Liedke, PharmD's National Provider Identifier is 1639787328, issued on Jul 19, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Troy, MO. The record was last updated on Jun 15, 2022.