Dedicated Missouri Holding, LLC
NPI #1164276523 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1164276523
- 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
- Apr 12, 2024
- Last Updated
- Apr 12, 2024
Practice Location
- Address
- 10990 NEW HALLS FERRY RD STE 1
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63136-4471
- Phone
- (314) 788-6444
Authorized Official
- Name
- MARY CHEN
- Title
- AUTHORIZED OFFICIAL
- Phone
- (305) 628-6117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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