Provider Demographics
NPI:1265958219
Name:BIEKERT, ANDREW DAVID (PHARM D)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:DAVID
Last Name:BIEKERT
Suffix:
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 1:1344 BRIAR PATH CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:IL
Mailing Address - Zip Code:62236-2752
Mailing Address - Country:US
Mailing Address - Phone:618-977-5090
Mailing Address - Fax:
Practice Address - Street 1:1617 MANUFACTURERS DR
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-2838
Practice Address - Country:US
Practice Address - Phone:314-690-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY019495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist