Mary S Polak, PHARM D Valid NPI
Individual provider · Pharmacist · Hazelwood, MO
- NPI
- 1851674899
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 2006024041 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-09-26
- Last updated
- 2011-09-26
Practice location
7398 N Lindbergh Blvd
Hazelwood, MO 63042-2033
(314) 972-1257