Healthcare Provider Details

I. General information

NPI: 1871408484
Provider Name (Legal Business Name): MARIAH A JAVIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7150 NATURAL BRIDGE RD
SAINT LOUIS MO
63121-5151
US

IV. Provider business mailing address

7150 NATURAL BRIDGE RD
SAINT LOUIS MO
63121-5151
US

V. Phone/Fax

Practice location:
  • Phone: 314-381-8600
  • Fax:
Mailing address:
  • Phone: 314-381-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2026037346
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: