Healthcare Provider Details

I. General information

NPI: 1013244284
Provider Name (Legal Business Name): STEPHANIE R PIESZCHALSKI PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 11/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14528 S OUTER 40 RD SUITE 300
CHESTERFIELD MO
63017-5785
US

IV. Provider business mailing address

14528 S OUTER 40 RD SUITE 300
CHESTERFIELD MO
63017-5785
US

V. Phone/Fax

Practice location:
  • Phone: 314-810-8302
  • Fax:
Mailing address:
  • Phone: 314-810-8302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number2009000325
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: