Most Relevant Information
Provider Data
| NPI Number: | 1003014135 |
| Provider Name: | PAT S RAFFERTY PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P1200X |
| Specialty: | Pharmacist |
| License Number: | 043930 |
Most Important Dates
| Enumeration Date: | 07/10/2007 |
| Last Updated: | 07/10/2007 |
Provider Practice Location
4588 PARKVIEW PL
ST. LOUIS COLLEGE OF PHARMACY
SAINT LOUIS
MO
631101029
Practice Location Phone/Fax
| Phone: | 3144468538 |
| Fax: | 3144468386 |
Provider Mailing Location
4588 PARKVIEW PL
ST. LOUIS COLLEGE OF PHARMACY
SAINT LOUIS
MO
631101029
Provider Mailing Phone/Fax
| Phone: | 3144468538 |
| Fax: | 3144468386 |