Sly, Mark
Sly, Mark is an sole proprietor health care provider with primary practice located at 1 Jefferson Barracks Dr , Saint Louis MO 63125-4181. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Sly, Mark can be contacted via phone (309) 663-8852.Contact Information
Primary practice address
1 Jefferson Barracks Dr
Saint Louis MO 63125-4181
Phone: (309) 663-8852
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Geriatric | 1835G0303X | 051295174 | Illinois |
Profile Details
| NPI number | 1679848618 |
|---|---|
| LBN Legal business name | Sly, Mark |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2012 |
| Last updated | Apr 29th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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