Healthcare Provider Details

I. General information

NPI: 1518172584
Provider Name (Legal Business Name): LINDSAY M BECKER PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10634 SAINT CHARLES ROCK RD
SAINT ANN MO
63074-1619
US

IV. Provider business mailing address

7630 WILLIAMS AVE
MAPLEWOOD MO
63143-1222
US

V. Phone/Fax

Practice location:
  • Phone: 314-426-4180
  • Fax: 314-426-4371
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2006025351
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: