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

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1104066778

Medical West Pharmacy, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19 Ronnies Plz
Saint Louis, MO 63126-3552
Phone: (314) 290-2200
Fax: (314) 902-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 10803009 (MO)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X · Licence 850200908 (MO)

Record details

NPI number1104066778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Sandler — President · (314) 993-7900
Other names Medical West Healthcare Center
NPI enumeratedFebruary 23, 2009
Last updated in NPPESJune 11, 2012
Mailing address9301 Dielman Industrial Dr, Saint Louis, MO 63132-2204

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