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1568747194
JEFF BIRKENKAMP
BALLWIN, MO
NPI
1568747194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MO 2000168504)
Enumeration Date
2011-10-14
Last Update Date
2011-10-14
Business Address
JEFF BIRKENKAMP
1391 BIG BEND RD
BALLWIN, MO 63021-7616
Phone number: 636-861-1988
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Mailing Address
JEFF BIRKENKAMP
13423 THORNHILL DR
SAINT LOUIS, MO 63131-1627
Phone number: 314-965-0393
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