MEDICARE: ANDREW WAYNE STINE

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	043655	MO

General Provider Information

NPI Number	:	1134720675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW WAYNE STINE

Provider Business Mailing Address
First Line	:	1402 HOMESTEAD VALLEY DR
Second Line	:
City	:	WILDWOOD
State	:	MO
Zip	:	63005-8446
Country	:	US
Telephone Number	:	636-328-5887
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 RONALD REAGAN DR
Second Line	:
City	:	LAKE SAINT LOUIS
State	:	MO
Zip	:	63367-2660
Country	:	US
Telephone Number	:	479-420-1320
Fax Number	:

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

Provider Enumeration Date	:	11/02/2020
Last Update Date	:	11/02/2020

Similar Medicare Providers

1750663944 — DR. MEGAN MARIE RAGAN PHARMD
Practice Location Address:

6100 RONALD REAGAN DR
LAKE SAINT LOUIS, MO
63367-2660

Practice Phone: 636-625-2137
Practice Fax:

1215537618 — MOLLY KATHLEEN LARUE PHARMD
Practice Location Address:

6100 RONALD REAGAN DR
LAKE SAINT LOUIS, MO
63367-2660

Practice Phone: 636-625-2137
Practice Fax: 636-625-2138

1760140933 — MR. JEFFREY JAMES LABRANCHE ABOC, NCLEC
Practice Location Address:

6100 RONALD REAGAN DR
LAKE SAINT LOUIS, MO
63367-2660

Practice Phone: 636-625-2143
Practice Fax: 636-625-2148

1407873748 — WAL-MART STORES EAST LP
Practice Location Address:

6100 RONALD REAGAN DR
LAKE ST LOUIS, MO
63367-2660

Practice Phone: 636-625-2137
Practice Fax:

1124103437 — WAL-MART STORES EAST, LP
Practice Location Address:

6100 RONALD REAGAN DR
LAKE ST LOUIS, MO
63367-2660

Practice Phone: 636-625-2101
Practice Fax:

1659650307 — MRS. AMY CHRISTINE LEDIOYT-FUHR RN
Practice Location Address:

641 OAKWOOD AVE
SAINT LOUIS, MO
63119-2660

Practice Phone: 314-918-8576
Practice Fax:

Directions to “ ANDREW WAYNE STINE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.