Molly Kathleen Larue, PHARMD
Individual provider Active NPI Pharmacist · Lake Saint Louis, MO
NPI 1215537618 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1215537618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2000172874 (MO)
- Practice address
- 6100 Ronald Reagan Dr
Lake Saint Louis, MO 63367-2660 - Phone
- (636) 625-2137
- Fax
- (636) 625-2138
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000172874 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2000172874 | MO | Yes |
Addresses
Primary practice location
6100 Ronald Reagan Dr
Lake Saint Louis, MO 63367-2660
Mailing address
28014 Pincecrest Dr
Wright City, MO 63390
Phone (314) 803-5450
Other providers in Lake Saint Louis, MO
- James Matthew Kirks
- Alexis Knisley
- Jeffrey James Labranche
- Lake Saint Louis Chiropractic and Rehab LLC
- Lake Saint Louis Health Center LLC
- Kristina Leanne Laswell
- Erica Lynn Leiser
- Christine Marie Linnemeyer
- Liv Behavioral Health LLC
- Maggie Lovette
All providers in Lake Saint Louis, MO · Pharmacist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. 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.