Healthcare Provider Details

I. General information

NPI: 1346699485
Provider Name (Legal Business Name): LUKE WEBER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 N MAIN ST
SAINT CLAIR MO
63077-1033
US

IV. Provider business mailing address

1029 BRUSH CREEK RD
SAINT CLAIR MO
63077-2608
US

V. Phone/Fax

Practice location:
  • Phone: 636-629-8085
  • Fax:
Mailing address:
  • Phone: 636-582-0997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2017025935
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: