Individual
BRAD COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4240 DUNCAN AVE STE 200, SAINT LOUIS, MO 63110-1123
(314) 518-4161
Mailing address
8650 BIG BEND BLVD, WEBSTER GROVES, MO 63119-3839
(314) 961-5222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020018322
MO
Other
Enumeration date
07/02/2020
Last updated
12/02/2020
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