Individual provider · Type 1 NPI

Mary Jo Faulkner

Pharmacist · Ballwin, MO

NPI number 1790069284 Active

Practice location

13992 Manchester Rd
Ballwin, MO 63011-4517

Call (636) 227-9228 Map

Mailing address

1724 Wade Rd
Pacific, MO 63069-4911

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2000165339 (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 1790069284

Mary Jo Faulkner's National Provider Identifier is 1790069284, issued on Oct 4, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Ballwin, MO. The record was last updated on Oct 4, 2011.