Healthcare Provider Details

I. General information

NPI: 1730655747
Provider Name (Legal Business Name): SYMBRIA RX SERVICES ST. LOUIS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2248 WELSCH INDUSTRIAL CT
SAINT LOUIS MO
63146-4222
US

IV. Provider business mailing address

7125 JANES AVE STE 300
WOODRIDGE IL
60517-2304
US

V. Phone/Fax

Practice location:
  • Phone: 314-356-9830
  • Fax: 314-356-9850
Mailing address:
  • Phone: 630-413-5800
  • Fax: 630-413-5801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DEREK BROWN
Title or Position: VICE PRESIDENT OF PHARMACY
Credential: PHARMD
Phone: 630-981-8150