ST. LOUIS CENTER FOR PREVENTATIVE AND LONGEVITY MEDICINE is a non pharmacy dispensing site in Saint Louis, MO. The provider is 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.) ST. LOUIS CENTER FOR PREVENTATIVE AND LONGEVITY MEDICINE NPI is 1033487889. The provider is registered as an organization entity type.
The provider's business location address is:
777 S NEW BALLAS RD
SUITE 200E
SAINT LOUIS, MO
ZIP 63141-705
Phone: (413) 994-1536
The provider's authorized official is Richard Bligh .
The authorized official title is Medical Director and has the following contact phone number (413) 994-1536.
The enumeration date for this NPI number is 12/8/2011 and was last updated on 12/8/2011.