NPI 1154968196
Dedicated Missouri Holding, LLC
Practice location
- Address
- 3721 S Grand Blvd, Saint Louis, MO 63118-3405
- Phone
- (314) 328-0144
- Mailing address
- 1395 NW 167th St, Miami Gardens, FL 33169-5710
Authorised official
- Name
- Mary Chen
- Title
- Owner
- Phone
- (305) 628-6117
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1154968196
- Entity type
- Organization
- NPI issued
- 10 Dec 2019
- Record last updated
- 31 Mar 2020
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.