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Dedicated Missouri Holding, Llc
Non-Pharmacy Dispensing Site in Saint Louis, Missouri
NPI 1154968196

Dedicated Missouri Holding, Llc is a Non-Pharmacy Dispensing Site based in Miami Gardens, MO. Dedicated Missouri Holding, Llc practices in Saint Louis, MO. The NPI Number for Dedicated Missouri Holding, Llc is 1154968196 and holds a License No. (Missouri).

The current practice location address for Dedicated Missouri Holding, Llc is 3721 S Grand Blvd, Saint Louis, MO and can be reached out via phone at 314-328-0144.

Location: 3721 S Grand Blvd, Saint Louis, MO, 33169-5710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154968196
Provider Name
Dedicated Missouri Holding, Llc
Credential
Provider Entity Type
Organization
Address
3721 S Grand Blvd, Saint Louis, MO, 33169-5710
Phone Number
314-328-0144
Fax Number
Provider Enumeration Date
12/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3721 S Grand Blvd
City
Saint Louis
State
Missouri
Zip
63118-3405
Phone Number
314-328-0144
Fax Number
person
Provider Business Mailing Address Details
Address
3721 S Grand Blvd
City
Saint Louis
State
Missouri
Zip
63118-3405
Phone Number
314-328-0144
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
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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