Provider Demographics
NPI:1558632836
Name:SCALES, DOROTHY JENINE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:JENINE
Last Name:SCALES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10305 CAPITOL DRIVE
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136
Mailing Address - Country:US
Mailing Address - Phone:314-868-9679
Mailing Address - Fax:
Practice Address - Street 1:2425 WHITTIER ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63113-2950
Practice Address - Country:US
Practice Address - Phone:314-371-3100
Practice Address - Fax:314-367-7010
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO043859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist