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Contact Information

REBECCA A MAWUENYEGA, RPH
11628 OLD BALLAS RD STE 227
CREVE COEUR, MO63141-7030
 Phone: 314-607-2603
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for REBECCA A MAWUENYEGA · (Female)

NPI # 1326314691
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 03/30/2012
Last updated 03/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2007019763
  • NM License # RP00006654
  • MO Medicaid 350063271
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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