Healthcare Provider Details

I. General information

NPI: 1770867053
Provider Name (Legal Business Name): MS. CATHERINE BARRIL I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2011
Last Update Date: 10/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6733 CLAYTON RD
SAINT LOUIS MO
63117-1603
US

IV. Provider business mailing address

6733 CLAYTON RD
SAINT LOUIS MO
63117-1603
US

V. Phone/Fax

Practice location:
  • Phone: 314-721-6013
  • Fax:
Mailing address:
  • Phone: 314-721-6013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number029674
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: