ST LUKES EPISCOPAL PRESBYTERIAN HOSPITAL
5551 Winghaven Blvd Ste 120
O Fallon, MO 63368
636-695-2555
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | MO | 2008006746 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
600567515 | MO | MEDICAID | |
PK | 2050270 | OTHER |