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NPI Code Detail

MEDICARE: LIN-KRIS PHARMACY INC

MEDICARE: LIN-KRIS PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1093949216
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIN-KRIS PHARMACY INC
Provider Business Mailing Address
First Line : 4221 BAYLESS AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63123-7513
Country : US
Telephone Number : 314-638-1000
Fax Number : 314-638-8430
Provider Business Practice Location Address
First Line : 4221 BAYLESS AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63123-7513
Country : US
Telephone Number : 314-638-1000
Fax Number : 314-638-8430
Authorized Official
Title or Position : PRESIDENT
Name : ROY H EBERHART II
Credential :
Telephone Number : 314-638-1000
Provider Enumeration Date : 05/04/2009
Last Update Date : 01/28/2011

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Directions to “LIN-KRIS PHARMACY INC ” Practice Location

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