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Individual

DR. NICHOLAS FERDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
915 N GRAND BLVD, PHARMACY DEPARTMENT, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
915 N GRAND BLVD, PHARMACY DEPARTMENT, SAINT LOUIS, MO 63106-1621
(314) 652-4100

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2010027745
MO

Other

Enumeration date
08/08/2010
Last updated
08/08/2010
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