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BETTY JEAN KERR PEOPLE'S HEALTH CENTERS NPI 1578608808


NPI Information

NPI: 1578608808
Provider Name: BETTY JEAN KERR PEOPLE'S HEALTH CENTERS

Doing Business As: PEOPLES HEALTH CENTER PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
5701 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63112
Phone: (314) 367-7848
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BETTY JEAN KERR PEOPLE'S HEALTH CENTERS 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. BETTY JEAN KERR PEOPLE'S HEALTH CENTERS NPI is 1578608808. The provider is registered as an organization entity type.
The provider Is Doing Business As Peoples Health Center Pharmacy.

The provider's business location address is:

5701 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63112-617
Phone: (314) 367-7848
Fax: (314) 367-4849

The provider's authorized official is Mark Sanford .
The authorized official title is Evp and has the following contact phone number (314) 367-7848.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 4/23/2019.


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 Pharmacy005971MISSOURIYes

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
1600543300MEDICAIDMISSOURI
22047509OTHERPK

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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