Provider Demographics
NPI:1992580831
Name:FRIGO, STEVE (RPH)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:
Last Name:FRIGO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 LACLEDE STATION RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1430
Mailing Address - Country:US
Mailing Address - Phone:314-745-4799
Mailing Address - Fax:
Practice Address - Street 1:1226 LACLEDE STATION RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1430
Practice Address - Country:US
Practice Address - Phone:314-745-4799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24279183500000X
MO2005026166183500000X
IL051286782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist