Dedicated Missouri Holding, LLC
Non-Pharmacy Dispensing Site · Saint Louis, MO
Practice location
3649 Page BlvdSaint Louis, MO 63113-3807
- Phone
- (314) 328-0144
NPI record
- NPI
- 1558909150
- Entity type
- Organization (Type 2)
- Enumeration date
- December 13, 2019
- Last updated
- December 13, 2019
- Certified
- December 13, 2019
- Organization subpart
- Yes
- Parent organization
- Dedicated Missouri Holding, LLC
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X |
— | — |
Mailing address
1395 NW 167TH StMiami, FL 33169-5710
Authorized official
- Name
- Mary Chen
- Title
- Owner
- Phone
- (305) 628-6117
Other names
- Dedicated Senior Medical Center Page Boulevard
About Dedicated Missouri Holding, LLC
Dedicated Missouri Holding, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X). The practice location is 3649 Page Blvd, Saint Louis, MO 63113-3807. The NPI number 1558909150 was assigned on December 13, 2019 and the record was last updated on December 13, 2019.
The authorized official for this organization is Mary Chen, Owner.
Frequently asked questions
What is the NPI number of Dedicated Missouri Holding, LLC?
The NPI number is 1558909150.
What is the phone number of Dedicated Missouri Holding, LLC?
The phone number listed for the practice location is (314) 328-0144.
Where is Dedicated Missouri Holding, LLC located?
3649 Page Blvd, Saint Louis, MO 63113-3807.
What is the taxonomy code for Dedicated Missouri Holding, LLC?
The primary taxonomy code is 332900000X – Non-Pharmacy Dispensing Site.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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