institution
St. Louis Center For Preventative And Longevity Medicine
Non-Pharmacy Dispensing Site in Saint Louis, Missouri
NPI 1033487889

St. Louis Center For Preventative And Longevity Medicine is a Non-Pharmacy Dispensing Site based in Los Angeles, MO. St. Louis Center For Preventative And Longevity Medicine practices in Saint Louis, MO. The NPI Number for St. Louis Center For Preventative And Longevity Medicine is 1033487889 and holds a License No. (Missouri).

The current practice location address for St. Louis Center For Preventative And Longevity Medicine is 777 S New Ballas Rd, Saint Louis, MO and can be reached out via phone at 413-994-1536.

Location: 777 S New Ballas Rd, Saint Louis, MO, 90077-1726
institution
Provider Profile Details
NPI Number
1033487889
Provider Name
St. Louis Center For Preventative And Longevity Medicine
Credential
Provider Entity Type
Organization
Address
777 S New Ballas Rd, Saint Louis, MO, 90077-1726
Phone Number
413-994-1536
Fax Number
Provider Enumeration Date
12/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
777 S New Ballas Rd
City
State
Zip
63141-8705
Phone Number
413-994-1536
Fax Number
person
Provider Business Mailing Address Details
Address
777 S New Ballas Rd
City
State
Zip
63141-8705
Phone Number
413-994-1536
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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