Healthcare Provider Details

I. General information

NPI: 1295010809
Provider Name (Legal Business Name): CINDY ZIEGLER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2011
Last Update Date: 10/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 LEMAY FERRY RD
ST. LOUIS MO
63129-1571
US

IV. Provider business mailing address

2890 PIN OAK DR
IMPERIAL MO
63052-1343
US

V. Phone/Fax

Practice location:
  • Phone: 314-416-1539
  • Fax: 314-416-1658
Mailing address:
  • Phone: 636-296-4681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30029
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: