Mr Gregory D Mudd, - Pharmacist in Saint Louis, MO

Mr Gregory D Mudd, is a Pharmacist based in Saint Louis, Missouri. Mr Gregory D Mudd is licensed to practice in Missouri (license number 29144) and his current practice location is 630 N Mcknight Rd, Saint Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at (314) 991-3402.

NPI number for Mr Gregory D Mudd is 1205107778 and his current mailing address is 7900 Gannon Ave, University City, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205107778.

Contact Information

Mr Gregory D Mudd,
630 N Mcknight Rd,
Saint Louis, MO 63132-4911
(314) 991-3402
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Gregory D Mudd
GenderMale
SpecialityPharmacist
Location630 N Mcknight Rd, Saint Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205107778
  • Provider Enumeration Date: 01/15/2012
  • Last Update Date: 01/15/2012

Medical Identifiers

Medical identifiers for Mr Gregory D Mudd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205107778NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 29144 (Missouri)Primary
183500000XPharmacist RPH30847 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gregory D Mudd is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Gregory D Mudd,
7900 Gannon Ave,
University City, MO 63130-3707

Ph: () -
Mr Gregory D Mudd,
630 N Mcknight Rd,
Saint Louis, MO 63132-4911

Ph: (314) 991-3402

Reviews and Comments


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