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AFFINIA HEALTHCARE NPI 1093731945


NPI Information

NPI: 1093731945
Provider Name: AFFINIA HEALTHCARE

Doing Business As: AFFINIA HEALTHCARE PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1717 BIDDLE ST
SAINT LOUIS, MO
ZIP 63106
Phone: (314) 814-8638
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AFFINIA HEALTHCARE is a clinic pharmacy pharmacy in Saint Louis, MO. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. AFFINIA HEALTHCARE NPI is 1093731945. The provider is registered as an organization entity type.
The provider Is Doing Business As Affinia Healthcare Pharmacy.

The provider's business location address is:

1717 BIDDLE ST
SAINT LOUIS, MO
ZIP 63106-454
Phone: (314) 814-8638
Fax: (314) 814-8643

The provider's authorized official is Alan Freeman .
The authorized official title is President And Ceo and has the following contact phone number (314) 814-8511.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 9/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic Pharmacy2005037282MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12049150OTHERPK
2600400709MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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