SSM CARDINAL GLENNON CHILDRENS HOSPITAL
1465 S Grand Blvd
Saint Louis, MO 63104
314-577-5683
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | ||
N | 3336C0003X | Suppliers - Pharmacy | ||
Y | 333600000X | Suppliers - Pharmacy | MO | 006069 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
600155808 | MO | MEDICAID | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 2614217 | OTHER | |
430718920003 | IL | MEDICAID |