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SPECIALTY PHARMACY OF ST. LOUIS LLC NPI 1194917773


NPI Information

NPI: 1194917773
Provider Name: SPECIALTY PHARMACY OF ST. LOUIS, LLC
Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
623 N NEW BALLAS RD
CREVE COEUR, MO
ZIP 63141
Phone: (314) 991-5200
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SPECIALTY PHARMACY OF ST. LOUIS, LLC is a compounding pharmacy pharmacy in Creve Coeur, MO. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. SPECIALTY PHARMACY OF ST. LOUIS, LLC NPI is 1194917773. The provider is registered as an organization entity type.

The provider's business location address is:

623 N NEW BALLAS RD
CREVE COEUR, MO
ZIP 63141-713
Phone: (314) 991-5200
Fax: (314) 991-5210

The provider's authorized official is Lee Eric Ori .
The authorized official title is President and has the following contact phone number (314) 991-5200.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 8/16/2007.


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
13336S0011XPharmacySpecialty Pharmacy2003001140MISSOURINo
23336C0004XPharmacyCompounding Pharmacy2003001140MISSOURIYes

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: 4/28/2024

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