Provider Demographics
NPI:1013626886
Name:DEE, TERRENCE JOSEPH III (PHARM D)
Entity type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:JOSEPH
Last Name:DEE
Suffix:III
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 TRAILSIDE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-2201
Mailing Address - Country:US
Mailing Address - Phone:636-866-9350
Mailing Address - Fax:
Practice Address - Street 1:13 TRAILSIDE DR
Practice Address - Street 2:
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-2201
Practice Address - Country:US
Practice Address - Phone:636-866-9350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022037058183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist