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General NPI Number Information
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NPI Number | 1730638958
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Entity Type | Organization
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Legal Business Name | WEST COUNTY PHARMACY LLC
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 13354 MANCHESTER RD STE 101
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City | DES PERES
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State | MO
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Zip | 63131-1738
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Country | US
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Telephone | 314-432-5020
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Fax | 314-432-5026
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Provider Business Mailing Address
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Address Line | 777 S NEW BALLAS RD
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8705
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Country | US
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Telephone | 314-432-5020
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Fax | 314-432-5026
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONALD SCHREIBER
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Credential |
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Telephone | 314-965-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2016032997
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License Number State | MO
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