St Louis Center for Preventative and Longevity Medicine
St Louis Center for Preventative and Longevity Medicine is a Non-Pharmacy Dispensing Site in Saint Louis, Missouri. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
777 S New Ballas Rd Ste 200ESaint Louis, MO 63141-8705
Phone: (413) 994-1536
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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 number | 1033487889 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Louis Center for Preventative and Longevity Medicine |
| Authorized official | Richard Bligh — Medical Director · (413) 994-1536 |
| NPI enumerated | December 8, 2011 |
| Last updated in NPPES | December 8, 2011 |
| Mailing address | 2980 N Beverly Glen Cir, Suite 301, Los Angeles, CA 90077-1726 |
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