TARA PHARRMACY SE LLC NPI 1720218506

NPI Information

TARA PHARRMACY SE LLC is a long term care pharmacy pharmacy in Saint Louis, MO. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. TARA PHARRMACY SE LLC NPI is 1720218506. The provider is registered as an organization entity type.
The provider Is Doing Business As Tara Pharmacy Se Llc.

The provider's business location address is:

11643 LILBURN PARK RD
SAINT LOUIS, MO
ZIP 63146-535
Phone: (314) 567-7239
Fax: (314) 995-8524

The provider's authorized official is James R. Cox .
The authorized official title is Vice President and has the following contact phone number (601) 664-1664.

The CLIA number assigned to this NPI record is 26D2207523 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2009 and was last updated on 2/25/2022.

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:

Other Identifiers

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