Provider Demographics
NPI:1821600545
Name:DEBBIE S PHARMACY LLC
Entity Type:Organization
Organization Name:DEBBIE S PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LEE ANN
Authorized Official - Last Name:MILLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:314-482-7897
Mailing Address - Street 1:102 BARTON CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-3149
Mailing Address - Country:US
Mailing Address - Phone:314-482-7897
Mailing Address - Fax:
Practice Address - Street 1:815 HAZELWEST DR STE 100
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1762
Practice Address - Country:US
Practice Address - Phone:314-895-3300
Practice Address - Fax:314-451-8585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy