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1164276523
DEDICATED MISSOURI HOLDING, LLC
SAINT LOUIS, MO
NPI
1164276523
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Entity Type
Organization
Authorized Contact
MARY CHEN
Authorized Official
305-628-6117
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2024-04-12
Last Update Date
2024-04-12
Business Address
DEDICATED MISSOURI HOLDING, LLC
10990 NEW HALLS FERRY RD STE 1
SAINT LOUIS, MO 63136-4471
Phone number: 314-788-6444
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Mailing Address
DEDICATED MISSOURI HOLDING, LLC
1395 NW 167TH ST
MIAMI GARDENS, FL 33169-5710
Phone number: 305-628-6117
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