Healthcare Provider Details
I. General information
NPI: 1184548570
Provider Name (Legal Business Name): ALBUS RX HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17877 CHESTERFIELD AIRPORT RD STE 300
CHESTERFIELD MO
63005-1211
US
IV. Provider business mailing address
17877 CHESTERFIELD AIRPORT RD STE 100
CHESTERFIELD MO
63005-1211
US
V. Phone/Fax
- Phone: 636-519-2400
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRADLEY
SCHAMMEL
Title or Position: SR DIR, PHARMACY COMPLIANCE AND REG
Credential: RPH
Phone: 314-609-5376