MEDICARE: F R HAEFNER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	3336M0002X	Mail Order Pharmacy
4	333600000X	Pharmacy
5	3336C0003X	Community/Retail Pharmacy	003843	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2049445	OTHER		PK

General Provider Information

NPI Number	:	1104953942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	F R HAEFNER INC

Provider Business Mailing Address
First Line	:	11 N SARAH ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2816
Country	:	US
Telephone Number	:	314-533-1081
Fax Number	:	314-533-1082

Provider Business Practice Location Address
First Line	:	11 N SARAH ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2816
Country	:	US
Telephone Number	:	314-533-1081
Fax Number	:	314-533-1082

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARY NEUHAUS
Credential	:
Telephone Number	:	314-533-1081

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	01/21/2026

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Directions to “F R HAEFNER INC ” Practice Location

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