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Individual

NICHOLAS LEE FARRAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2004 MCCAUSLAND AVE, SAINT LOUIS, MO 63143-2536
(217) 710-0660
Mailing address
2004 MCCAUSLAND AVE, SAINT LOUIS, MO 63143-2536
(217) 710-0660

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2009013493
MO

Other

Enumeration date
11/05/2010
Last updated
11/05/2010
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