1101a North Jefferson Pharmacy LLC
NPI #1093558009 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1093558009
- Entity Type
- Organization
- Organization Name
- 1101a North Jefferson Pharmacy LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jun 17, 2024
- Last Updated
- Jun 17, 2024
Practice Location
- Address
- 1101A N JEFFERSON AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63106-2222
- Phone
- (636) 242-8844
Authorized Official
- Name
- MRS. SANDRA JAMRON
- Title
- MANAGING MEMBER
- Phone
- (636) 242-8844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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