Ssm Pharmacy @ Depaul

NPI #1699861674 in Bridgeton, Missouri

Provider Information

NPI Number: 1699861674
Entity Type: Organization
Organization Name: Ssm Pharmacy @ Depaul
Primary Specialty: Pharmacist
Enumeration Date: Oct 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 12255 DE PAUL DR STE 120
City: Bridgeton
State: Missouri
ZIP Code: 63044-2513
Phone: (314) 344-7300

Authorized Official

Name: MR. BRADLEY ARENS, RPH
Title: MANGER/PIC
Phone: (314) 344-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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