Provider Demographics
NPI:1447854377
Name:BATSON, PATRICK J (RPH)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:J
Last Name:BATSON
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 1:1920 MAPLEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-7842
Mailing Address - Country:US
Mailing Address - Phone:618-233-1555
Mailing Address - Fax:
Practice Address - Street 1:1884 LACKLAND HILL PKWY
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-3694
Practice Address - Country:US
Practice Address - Phone:314-344-9094
Practice Address - Fax:314-344-9097
Is Sole Proprietor?:No
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017029306183500000X
IL051037202183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist