Healthcare Provider Details

I. General information

NPI: 1487924973
Provider Name (Legal Business Name): JUSTINNE EILEEN GUYTON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2011
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6121 N HANLEY RD OFC 1020
SAINT LOUIS MO
63134-2003
US

IV. Provider business mailing address

6121 N HANLEY RD OFC 1020
SAINT LOUIS MO
63134-2003
US

V. Phone/Fax

Practice location:
  • Phone: 314-615-6869
  • Fax: 314-615-0871
Mailing address:
  • Phone: 314-615-6869
  • Fax: 314-615-0871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number2012029729
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number2012029729
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: