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Contact Information

FOREST PARK PHARMACY
3535 S. JEFFERSON AVE
STE (S-1)
SAINT LOUIS, MO63118
 Phone: 314-645-9990
 Fax: 314-645-9989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FOREST PARK PHARMACY

NPI Number 1659576205
LBN Legal business name FOREST PARK PHARMACY
Authorized official AMIRA JAHIC - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2007
Last updated 03/09/2017 - About 9 years ago
Identifiers
MO License # 2007014550
Other 2637429 OTHER ID NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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