Healthcare Provider Details

I. General information

NPI: 1457560807
Provider Name (Legal Business Name): VIVIAN LYNN BELL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 ARSENAL ST PHARMACY DEPT B-139
SAINT LOUIS MO
63139-1463
US

IV. Provider business mailing address

2316 VIRGINIA AVE
SAINT LOUIS MO
63104-1738
US

V. Phone/Fax

Practice location:
  • Phone: 314-877-6104
  • Fax: 314-877-6152
Mailing address:
  • Phone: 314-368-5378
  • Fax: 314-877-6152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number27745
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number041533
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: