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

Justin Clarke Liedke, PHARMD

Individual provider Pharmacist · NPI 1639787328

Justin Clarke Liedke, PHARMD is a Pharmacist in Troy, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

100 Jason Dr
Troy, MO 63379-1944
Phone: (636) 462-5901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2020018825 (MO)

Record details

NPI number1639787328
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 19, 2020
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022
Mailing address1172 Warm Winds Dr, O Fallon, MO 63366-6305

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