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General NPI Number Information
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NPI Number | 1730655747
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Entity Type | Organization
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Legal Business Name | SYMBRIA RX SERVICES ST. LOUIS, LLC
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 2248 WELSCH INDUSTRIAL CT
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City | SAINT LOUIS
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State | MO
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Zip | 63146-4222
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Country | US
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Telephone | 314-356-9830
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Fax | 314-356-9850
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Provider Business Mailing Address
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Address Line | 7125 JANES AVE STE 300
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City | WOODRIDGE
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State | IL
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Zip | 60517-2304
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Country | US
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Telephone | 630-413-5800
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Fax | 630-413-5801
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Authorized Official
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Title or Position | VICE PRESIDENT OF PHARMACY
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Name | DEREK BROWN
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Credential | PHARMD
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Telephone | 630-981-8150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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