NPI 1164276523
Dedicated Missouri Holding, LLC
Practice location
- Address
- 10990 New Halls Ferry Rd STE 1, Saint Louis, MO 63136-4471
- Phone
- (314) 788-6444
- Fax
- (314) 788-6504
- Mailing address
- 1395 NW 167th St, Miami Gardens, FL 33169-5710
Authorised official
- Name
- Mary Chen
- Title
- Authorized Official
- Phone
- (305) 628-6117
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1164276523
- Entity type
- Organization
- NPI issued
- 12 Apr 2024
- Record last updated
- 12 Apr 2024
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.