MICAH BURGDORF

SAINT LOUIS, MO
NPI1821694621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2020038387)
Enumeration Date2020-12-07
Last Update Date2020-12-07
Business Address
MICAH BURGDORF
3920 HAMPTON AVE
SAINT LOUIS, MO 63109-1401
Phone number: 314-351-2100
Mailing Address
MICAH BURGDORF
3920 HAMPTON AVE
SAINT LOUIS, MO 63109-1401
Phone number: 314-351-2100