MEDICARE: MRS. DOROTHY JENINE SCALES RPH

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	043859	MO

General Provider Information

NPI Number	:	1558632836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DOROTHY JENINE SCALES RPH

Provider Business Mailing Address
First Line	:	10305 CAPITOL DRIVE
Second Line	:
City	:	ST. LOUIS
State	:	MO
Zip	:	63136
Country	:	US
Telephone Number	:	314-868-9679
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 WHITTIER ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63113-2950
Country	:	US
Telephone Number	:	314-371-3100
Fax Number	:	314-367-7010

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

Provider Enumeration Date	:	01/19/2012
Last Update Date	:	11/17/2023

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