Ssm Health Pharmacy
LBN: Ssm Health Care St Louis
Ssm Health Pharmacy is an health care organization with primary practice located at 12266 Depaul Dr. Suite 105 , Bridgeton MO 63044. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Ssm Health Care St Louis can be contacted via phone (314) 344-7300, or through Spencer, Kimberly via phone (314) 989-2588.
Contact Information
Primary practice address
12266 Depaul Dr. Suite 105
Bridgeton MO 63044
Phone: (314) 344-7300
Fax: (314) 344-6179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2009004862 | Missouri |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1003058371 |
|---|---|
| LBN Legal business name | Ssm Health Care St Louis |
| DBA Doing business as | Ssm Health Pharmacy |
| Authorized official | Spencer, Kimberly PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 1st, 2009 |
| Last updated | Oct 18th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003058371 | NPPES |
| Other | 2119641 | PK | |
| MEDICAID | 606172302 | PK |
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