Individual
NICHOLAS JOHN GREENHAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1191 W KANSAS ST, LIBERTY, MO 64068-2281
(816) 781-9347
(816) 781-9492
Mailing address
1191 W KANSAS ST, LIBERTY, MO 64068-2281
(816) 781-9347
(816) 781-9492
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013026261
MO
Other
Enumeration date
11/05/2014
Last updated
03/13/2018
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