Laila Ait Haj Kaddour
Individual provider Active NPI Pharmacist · Saint Louis, MO
NPI 1043989205 · NPPES record last updated Feb 22, 2024
Key facts
- NPI
- 1043989205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2021036761 (MO)
- Practice address
- 1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003 - Phone
- (314) 362-5339
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021036761 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2021036761 | MO | Yes |
Addresses
Primary practice location
1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003
Mailing address
1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003
Phone (314) 362-5339
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.