IRENE SANSOUCIE

SAINT LOUIS, MO
NPI1134605017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2011026615)
Enumeration Date2018-07-13
Last Update Date2018-07-13
Business Address
IRENE SANSOUCIE PharmD
4333 BUTLER HILL RD
SAINT LOUIS, MO 63128-3717
Phone number: 314-894-2484
Mailing Address
IRENE SANSOUCIE PharmD
123 HARBOR CT
FENTON, MO 63026-7516
Phone number: 314-398-1198