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NPI 1154968196

OrganizationActive

Dedicated Missouri Holding, LLC

NPI 1154968196 · Non-Pharmacy Dispensing Site · Saint Louis, MO

Provider details

NPI number: 1154968196
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Dedicated Missouri Holding, LLC
Authorized official: Mary Chen, Owner

Practice location

3721 S Grand Blvd

Saint Louis, MO 63118-3405

Phone: (314) 328-0144

More MO providers

Mailing address

1395 Nw 167th St

Miami Gardens, FL 33169-5710

Registry dates

Enumerated: 2019-12-10
Last updated: 2020-03-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Dedicated Missouri Holding, LLC — NPI 1154968196, Saint Louis, MO | NPI Central