NPI 1003192055

Tomislav Tom Matijasec, PHARMD

Practitioner Pharmacist Saint Louis, MO

Practice location

Address: 9634 Casa Rosa Dr, Saint Louis, MO 63123-6217
Phone: (314) 302-4659

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2006025297 (MO)

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Registry record

NPI: 1003192055
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2011
Record last updated: 21 Oct 2011

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.