Individual
DR. NICOLE MARIE PETERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
8200 N LINDBERGH BLVD, SCHNUCKS PHARMACY, FLORISSANT, MO 63031-7107
(314) 921-7345
(314) 921-7346
Mailing address
6625 ALAMO AVE, APT 1E, SAINT LOUIS, MO 63105-3129
(314) 446-8555
(314) 446-8500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2003023575
MO
183500000X
Pharmacist
—
IL
Other
Enumeration date
06/30/2005
Last updated
07/09/2007
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