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1790317402
DEDICATED MISSOURI HOLDING, LLC
SAINT LOUIS, MO
NPI
1790317402
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Entity Type
Organization
Authorized Contact
MARY CHEN
Owner
305-628-6117
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2020-02-10
Last Update Date
2020-02-10
Business Address
DEDICATED MISSOURI HOLDING, LLC
175 N OAKS PLZ
SAINT LOUIS, MO 63121-2925
Phone number: 314-328-0144
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Mailing Address
DEDICATED MISSOURI HOLDING, LLC
1395 NE 167TH ST
MIAMI, FL 33162-2744
Phone number: 305-628-6117
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