Olive Street Pharmacy LLC
NPI #1104249168 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1104249168
- Entity Type
- Organization
- Organization Name
- Olive Street Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jan 28, 2014
- Last Updated
- Dec 30, 2021
Practice Location
- Address
- 10420 OLD OLIVE STREET RD STE 103
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-5937
- Phone
- (314) 736-5555
Authorized Official
- Name
- ALEXANDER SHLAFSHTEYN
- Title
- MEMBER
- Phone
- (314) 736-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy |
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