Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1101A North Jefferson Pharmacy LLC

Organization Long Term Care Pharmacy · NPI 1093558009

1101A North Jefferson Pharmacy LLC is a Long Term Care Pharmacy in Saint Louis, Missouri. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101A N Jefferson Ave
Saint Louis, MO 63106-2222
Phone: (636) 242-8844
Fax: (636) 242-8822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1093558009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Jamron — Managing Member · (636) 242-8844
Other names Boca Pharmacy
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address231 S Bemiston Ave Ste 850, Saint Louis, MO 63105-1920

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