Provider Demographics
NPI:1265710560
Name:ST. LOUIS COLLEGE OF PHARMACY
Entity type:Organization
Organization Name:ST. LOUIS COLLEGE OF PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEAN OF PHARMACY
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:CAROLYN
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:314-446-8341
Mailing Address - Street 1:4588 PARKVIEW PLACE
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-367-8700
Mailing Address - Fax:314-446-8500
Practice Address - Street 1:4588 PARKVIEW PLACE
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-367-8700
Practice Address - Fax:314-446-8500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty