DEDICATED MISSOURI HOLDING, LLC is a non pharmacy dispensing site in Saint Louis, MO. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) DEDICATED MISSOURI HOLDING, LLC NPI is 1154968196. The provider is registered as an organization entity type.
The provider Is Doing Business As Dedicated Senior Medical Center Tower Grove.
The provider's business location address is:
3721 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63118-405
Phone: (314) 328-0144
The provider's authorized official is Mary Chen .
The authorized official title is Owner and has the following contact phone number (305) 628-6117.
The CLIA number assigned to this NPI record is 26D2189148 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/10/2019 and was last updated on 3/31/2020.