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

Dedicated Missouri Holding, LLC

Organization Non-Pharmacy Dispensing Site · NPI 1164276523

Dedicated Missouri Holding, LLC is a Non-Pharmacy Dispensing Site 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

10990 New Halls Ferry Rd Ste 1
Saint Louis, MO 63136-4471
Phone: (314) 788-6444
Fax: (314) 788-6504
Show map & directions

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

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1164276523
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDedicated Missouri Holding, LLC
Authorized official Mary Chen — Authorized Official · (305) 628-6117
Other names Dedicated Senior Medical Center Ferguson
NPI enumeratedApril 12, 2024
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024
Mailing address1395 Nw 167th St, Miami Gardens, FL 33169-5710

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