MEDICARE: COLONIAL VILLAGE PHARMACY LLC

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	3336C0003X	Community/Retail Pharmacy	002541	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720091598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLONIAL VILLAGE PHARMACY LLC

Provider Business Mailing Address
First Line	:	7945 BIG BEND BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63119-2703
Country	:	US
Telephone Number	:
Fax Number	:	314-962-9215

Provider Business Practice Location Address
First Line	:	7945 BIG BEND BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63119-2703
Country	:	US
Telephone Number	:	314-962-1065
Fax Number	:	314-962-9215

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	MR. EUGENE ADAM ARBINI
Credential	:	RPH
Telephone Number	:	314-962-1065

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	06/13/2008

Similar Medicare Providers

1437153970 — DR. ROBERT ELIOT ZIEGLER M.D.
Practice Location Address:

7937 BIG BEND BLVD
SAINT LOUIS, MO
63119-2703

Practice Phone: 314-962-4511
Practice Fax: 314-962-3431

1811022874 — CHRISTIAN FAMILY SERVICES, INC
Practice Location Address:

7955 BIG BEND BLVD
SAINT LOUIS, MO
63119-2703

Practice Phone: 314-968-2216
Practice Fax: 314-968-2335

1700058286 — ERIC W MCPHERSON LPC
Practice Location Address:

7955 BIG BEND BLVD
SAINT LOUIS, MO
63119-2703

Practice Phone: 314-968-2216
Practice Fax: 314-968-2335

1356513824 — STEVEN MAX AWTREY LPC
Practice Location Address:

7955 BIG BEND BLVD
SAINT LOUIS, MO
63119-2703

Practice Phone: 314-968-2216
Practice Fax: 314-968-2335

1235304494 — WEBSTER FAMILY PHYSICIANS, P.C.
Practice Location Address:

7979 BIG BEND BLVD
SAINT LOUIS, MO
63119-2703

Practice Phone: 314-961-6631
Practice Fax: 314-961-4796

1346553310 — GIANINOCO LTD
Practice Location Address:

7915 BIG BEND BLVD , UPPER LEVEL
SAINT LOUIS, MO
63119-2703

Practice Phone: 314-963-1100
Practice Fax: 314-963-0255

Directions to “COLONIAL VILLAGE PHARMACY LLC ” 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.