ADAM L THACKER

SAINT LOUIS, MO
NPI1871702837
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2006024052)
Additional Taxonomies183500000X Pharmacist
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
ADAM L THACKER RPH
216 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110-1026
Phone number: 314-362-3395
Mailing Address
ADAM L THACKER RPH
1214 EVANS AVE
KIRKWOOD, MO 63122-1227
Phone number:
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