Individual
DR. NICOLE MCHARGUE NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2019013549
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045026
MISSOURI STATE BOARD OF PHARMACY PHARMACIST LICENSE
MO
01
—
2019013549
MISSOURI STATE BOARD OF PHARMACY PERMIT
MO
01
—
2500053920
BNDD LICENSE
MO
Enumeration date
04/26/2019
Last updated
04/26/2019
Update your record
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