Healthcare Provider Details

I. General information

NPI: 1124879945
Provider Name (Legal Business Name): BARNES JEWISH HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2024
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 BARNES WEST DR STE 100
SAINT LOUIS MO
63141-6350
US

IV. Provider business mailing address

10 BARNES WEST DR STE 100
SAINT LOUIS MO
63141-6350
US

V. Phone/Fax

Practice location:
  • Phone: 314-996-3403
  • Fax:
Mailing address:
  • Phone: 314-996-3403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN PATRICK LYNCH
Title or Position: PRESIDENT
Credential:
Phone: 314-362-5675