# DR. BRODY MICHAEL FREDERICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548812654
- **Gender:** Man
- **Credential:** PHARM.D., RPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 2019025927 | MO | Yes |

## Other

- **Enumeration date:** 07/10/2019
- **Last updated:** 07/14/2019