Dedicated Missouri Holding, LLC
NPI #1154968196 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1154968196
- Entity Type
- Organization
- Organization Name
- Dedicated Missouri Holding, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DEDICATED MISSOURI HOLDING, LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Dec 10, 2019
- Last Updated
- Mar 31, 2020
Practice Location
- Address
- 3721 S GRAND BLVD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63118-3405
- Phone
- (314) 328-0144
Authorized Official
- Name
- MARY CHEN
- Title
- OWNER
- Phone
- (305) 628-6117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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