Whalio Doctors

NPI 1003058371

SSM Health Care St Louis

Organisation Community/Retail Pharmacy Bridgeton, MO

Practice location

Address
12266 Depaul Dr. Suite 105, Bridgeton, MO 63044
Phone
(314) 344-7300
Fax
(314) 344-6179

Authorised official

Name
Kimberly Spencer
Title
V.P. Pharmacy Services
Phone
(314) 989-2588

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Pharmacy
Suppliers Taxonomy 333600000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X Licence 2009004862 (MO)

Registry record

NPI
1003058371
Entity type
Organization
NPI issued
1 Apr 2009
Record last updated
18 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.