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NPI Code Detail

MEDICARE: DR. PATRICK MICHAEL FINNEGAN PHARM.D.

MEDICARE: DR. PATRICK MICHAEL FINNEGAN PHARM.D.
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
1183500000XPharmacist2003000290MO

General Provider Information

NPI Number : 1336141894
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK MICHAEL FINNEGAN PHARM.D.
Provider Business Mailing Address
First Line : 5944 CARDINAL CREEK DR
Second Line :
City : OAKVILLE
State : MO
Zip : 63129-4661
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 915 N GRAND BLVD
Second Line : ROOM A830
City : SAINT LOUIS
State : MO
Zip : 63106-1621
Country : US
Telephone Number : 314-652-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/08/2007

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