MEDICARE: IRENE SANSOUCIE PHARMD

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
1	183500000X	Pharmacist	2011026615	MO

General Provider Information

NPI Number	:	1134605017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRENE SANSOUCIE PHARMD

Provider Business Mailing Address
First Line	:	123 HARBOR CT
Second Line	:
City	:	FENTON
State	:	MO
Zip	:	63026-7516
Country	:	US
Telephone Number	:	314-398-1198
Fax Number	:

Provider Business Practice Location Address
First Line	:	4333 BUTLER HILL RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63128-3717
Country	:	US
Telephone Number	:	314-894-2484
Fax Number	:	314-894-2591

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2018
Last Update Date	:	07/13/2018

Similar Medicare Providers

1659320273 — DR. CHRISTOPHER G SEEP O.D.
Practice Location Address:

4305 BUTLER HILL RD
SAINT LOUIS, MO
63128-3717

Practice Phone: 314-487-4744
Practice Fax: 314-845-5956

1942259551 — WM F KIEFER & ASSOCIATES INC
Practice Location Address:

4305 BUTLER HILL RD
SAINT LOUIS, MO
63128-3717

Practice Phone: 314-487-4744
Practice Fax: 314-845-5956

1356377600 — MISSOURI CVS PHARMACY, L.L.C.
Practice Location Address:

4333 BUTLER HILL RD
SAINT LOUIS, MO
63128-3717

Practice Phone: 314-894-2484
Practice Fax: 314-894-2591

1417985748 — DR. APRIL THACKER-SALVADOR OD
Practice Location Address:

4305 BUTLER HILL RD
SAINT LOUIS, MO
63128-3717

Practice Phone: 314-487-4744
Practice Fax: 314-845-5956

1386751311 — DR. DAVID EARL GREAVES D.D.S.
Practice Location Address:

4305 BUTLER HILL RD
SAINT LOUIS, MO
63128-3717

Practice Phone: 314-892-8060
Practice Fax: 314-892-8806

1326524356 — DR. JONATHON MAUST PHARM D
Practice Location Address:

4333 BUTLER HILL RD
SAINT LOUIS, MO
63128-3717

Practice Phone: 314-894-2484
Practice Fax:

Directions to “ IRENE SANSOUCIE PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.