Healthcare Provider Details

I. General information

NPI: 1477767259
Provider Name (Legal Business Name): ION PHARMACEUTICALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2190 1ST CAPITOL DR
SAINT CHARLES MO
63301-5804
US

IV. Provider business mailing address

2190 1ST CAPITOL DR
SAINT CHARLES MO
63301-5804
US

V. Phone/Fax

Practice location:
  • Phone: 314-398-5668
  • Fax:
Mailing address:
  • Phone: 314-398-5668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: MR. HARIKRISHNA PATEL
Title or Position: PRESIDENT
Credential:
Phone: 314-398-5668