Individual
NICOLE LEIGH SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
942 VALLEY CREEK DR, FARMINGTON, MO 63640-1968
(573) 631-2112
Mailing address
6555 RIVERCREST DR, BONNE TERRE, MO 63628-3827
(573) 631-2112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2024029716
MO
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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