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NPI 1205024064 · live from the CMS NPI Registry

Teri Renee Belisle, PharmD, RD, CDE

Pharmacist in Saint Louis, MO. National Provider Identifier 1205024064, active.

NPI record

NPI1205024064 Type 1 · individual
StatusActive
Primary specialtyPharmacist 183500000X
Practice location13260 Romany Way Ct, Saint Louis, MO 63131
Practice phone314-330-2511
EnumeratedOctober 5, 2007
Last updatedMarch 27, 2017
Sole proprietorYes
Other namesTeri Giordano

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist183500000X051-290116 (IL)
Pharmacist183500000XPS 39397 (FL)
Dietitian, Registered133V00000X164006124 (IL)
Pharmacist primary183500000X2016002768 (MO)
Dietitian, Registered133V00000X2016008551 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.