NPI 1336740190

Jaicy Joseph

Practitioner Pharmacist Richmond Heights, MO

Practice location

Address: 6733 Clayton Rd, Richmond Heights, MO 63117-1603
Phone: (314) 721-6013

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2020035863 (MO)

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Registry record

NPI: 1336740190
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2020
Record last updated: 6 Nov 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.