Mary Susan Ail, RPH
Individual provider Active NPI Pharmacist · Barnhart, MO
NPI 1851676217 · NPPES record last updated Oct 18, 2011
Key facts
- NPI
- 1851676217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 041966 (MO)
- Practice address
- 1718 Catlin Dr
Barnhart, MO 63012-1277 - Phone
- (636) 461-1347
- NPI assigned
- Oct 18, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041966 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 041966 | MO | Yes |
Addresses
Primary practice location
1718 Catlin Dr
Barnhart, MO 63012-1277
Mailing address
6421 Hagemann Pointe CT
Saint Louis, MO 63128-4504
Phone (314) 842-1205
Other providers in Barnhart, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2011. 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.