institution
Medical West Pharmacy, Inc
Durable Medical Equipment & Medical Supplies in Saint Louis, Missouri
NPI 1104066778

Medical West Pharmacy, Inc is a Durable Medical Equipment & Medical Supplies based in Saint Louis, MO. Medical West Pharmacy, Inc practices in Saint Louis, MO. The NPI Number for Medical West Pharmacy, Inc is 1104066778 and holds a License No. 850200908 (Missouri).

The current practice location address for Medical West Pharmacy, Inc is 19 Ronnies Plz, Saint Louis, MO and can be reached out via phone at 314-290-2200 and via fax at 314-902-2220.

Location: 19 Ronnies Plz, Saint Louis, MO, 63132-2204
institution
Provider Profile Details
NPI Number
1104066778
Provider Name
Medical West Pharmacy, Inc
Credential
Provider Entity Type
Organization
Address
19 Ronnies Plz, Saint Louis, MO, 63132-2204
Phone Number
314-290-2200
Fax Number
314-902-2220
Provider Enumeration Date
02/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
612829 01 HEALTHLINK
620200907 05 MO
181658 01 MO ANTHEM BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
19 Ronnies Plz
City
State
Zip
63126-3552
Phone Number
314-290-2200
Fax Number
314-902-2220
person
Provider Business Mailing Address Details
Address
19 Ronnies Plz
City
State
Zip
63126-3552
Phone Number
314-290-2200
Fax Number
314-902-2220
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
10803009 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
850200908 (Missouri)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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