MEDICARE: ROBERT DENNIS STREER RPH, MBA

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	30067	MO

General Provider Information

NPI Number	:	1316215163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT DENNIS STREER RPH, MBA

Provider Business Mailing Address
First Line	:	3042 APPLE BLOSSOM LANE
Second Line	:
City	:	ST CHARLES
State	:	MO
Zip	:	65248-4447
Country	:	US
Telephone Number	:	636-441-7060
Fax Number	:

Provider Business Practice Location Address
First Line	:	3042 APPLE BLOSSOM LN
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-4447
Country	:	US
Telephone Number	:	636-441-7060
Fax Number	:

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

Provider Enumeration Date	:	12/08/2011
Last Update Date	:	12/08/2011

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