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NPI Code Detail

MEDICARE: BOEHRINGER DIRECT

MEDICARE: BOEHRINGER DIRECT
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1699633404
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOEHRINGER DIRECT
Provider Business Mailing Address
First Line : 17877 CHESTERFIELD AIRPORT RD STE 200
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63005-1211
Country : US
Telephone Number : 855-518-7563
Fax Number : 888-918-8379
Provider Business Practice Location Address
First Line : 17877 CHESTERFIELD AIRPORT RD STE 200
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63005-1211
Country : US
Telephone Number : 855-518-7563
Fax Number : 888-918-8379
Authorized Official
Title or Position : SR DIR, PHARMACY COMPLIANCE & REG
Name : MR. BRADLEY SCHAMMEL
Credential : RPH
Telephone Number : 314-609-5376
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “BOEHRINGER DIRECT ” Practice Location

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