MEDICARE: BRITTANY VORDTRIEDE

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	183500000X	Pharmacist	2021027365	MO

General Provider Information

NPI Number	:	1124979620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY VORDTRIEDE

Provider Business Mailing Address
First Line	:	3023 N BALLAS RD STE 100D
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-2330
Country	:	US
Telephone Number	:	314-657-9008
Fax Number	:	314-996-7502

Provider Business Practice Location Address
First Line	:	3023 N BALLAS RD STE 100D
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-2330
Country	:	US
Telephone Number	:	314-657-9008
Fax Number	:	314-996-7502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ BRITTANY VORDTRIEDE ” Practice Location

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