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NPI Code Detail

MEDICARE: GLADWELL WANJIRU KAMENJU PHARMD

MEDICARE: GLADWELL WANJIRU KAMENJU PHARMD
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
1183500000XPharmacist051.305469IL
2183500000XPharmacist2022037521MO

General Provider Information

NPI Number : 1942998778
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLADWELL WANJIRU KAMENJU PHARMD
Provider Business Mailing Address
First Line : 7450 HAMPTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63109-3931
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7450 HAMPTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63109-3931
Country : US
Telephone Number : 314-832-3688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2023
Last Update Date : 04/28/2023

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Directions to “ GLADWELL WANJIRU KAMENJU PHARMD” Practice Location

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