Healthcare Provider Details

I. General information

NPI: 1811777469
Provider Name (Legal Business Name): ERIN ELIZABETH BALL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 SPENCER RD STE 202
SAINT PETERS MO
63376-2576
US

IV. Provider business mailing address

255 SPENCER RD STE 202
SAINT PETERS MO
63376-2576
US

V. Phone/Fax

Practice location:
  • Phone: 636-486-4264
  • Fax: 636-237-6099
Mailing address:
  • Phone: 636-486-4264
  • Fax: 636-237-6099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2023037055
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.305782
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: