OrganizationActive
1101a North Jefferson Pharmacy LLC
NPI 1093558009 · Long Term Care Pharmacy · Saint Louis, MO
Provider details
- NPI number
- 1093558009
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Authorized official
- Sandra Jamron, Managing Member
Practice location
1101a N Jefferson Ave
Saint Louis, MO 63106-2222
Phone: (636) 242-8844
Fax: (636) 242-8822
Mailing address
231 S Bemiston Ave Ste 850
Saint Louis, MO 63105-1920
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2024-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.