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

SSM Cardinal Glennon Childrens Hospital

Organization Pharmacy · NPI 1609969880

SSM Cardinal Glennon Childrens Hospital is a Pharmacy in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
3

Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5683
Fax: (314) 268-4069
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 006069 (MO)
Clinic Pharmacy Taxonomy 3336C0002X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1609969880
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Healthcare St Louis
Authorized official Kimberly Spencer — V.P. Pharmacy Services · (314) 989-2588
NPI enumeratedOctober 2, 2006
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address1465 S Grand Blvd, Saint Louis, MO 63104-1003

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