Mario Everardo Coronado, RPH in Ballwin, MO - Pharmacist

Mario Everardo Coronado, RPH is a Pharmacist based in Ballwin, Missouri. Mario Everardo Coronado is licensed to practice in Missouri (license number 042517) and his current practice location is 731 Rockridge Dr, Ballwin, Missouri. He can be reached at his office (for appointments etc.) via phone at (636) 227-4175.

NPI number for Mario Everardo Coronado is 1538446554 and his current mailing address is 731 Rockridge Dr, Ballwin, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538446554.

Contact Information

	Mario Everardo Coronado, RPH
	731 Rockridge Dr, Ballwin, MO 63021-6615
	(636) 227-4175
	Not Available

Healthcare Provider's Profile

Full Name	Mario Everardo Coronado
Gender	Male
Speciality	Pharmacist
Location	731 Rockridge Dr, Ballwin, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1538446554
Provider Enumeration Date: 11/04/2011
Last Update Date: 11/04/2011

Medical Identifiers

Medical identifiers for Mario Everardo Coronado such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538446554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	042517 (Missouri)	Primary

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. Mario Everardo Coronado 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 Address	Practice Location Address
Mario Everardo Coronado, RPH 731 Rockridge Dr, Ballwin, MO 63021-6615 Ph: (636) 227-4175	Mario Everardo Coronado, RPH 731 Rockridge Dr, Ballwin, MO 63021-6615 Ph: (636) 227-4175

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Mario Everardo Coronado, RPH - Pharmacist in Ballwin, MO