Provider Demographics
NPI:1184596934
Name:ASM PHARMACY, LLC
Entity type:Organization
Organization Name:ASM PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY OPS SUPPORT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:LINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-753-2800
Mailing Address - Street 1:1403 HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-3115
Mailing Address - Country:US
Mailing Address - Phone:314-955-2179
Mailing Address - Fax:314-955-2180
Practice Address - Street 1:1403 HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-3115
Practice Address - Country:US
Practice Address - Phone:314-955-2179
Practice Address - Fax:314-955-2180
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASM PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy