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Individual

DR. NICHOLAS ROBERT HOAG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D., RPH

Contact information

Practice address
2737 S GRAND AVE, CARTHAGE, MO 64836-7907
(417) 358-4321
Mailing address
1715 REX AVE APT 157, JOPLIN, MO 64801-5925
(314) 630-0816

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019033481
MO

Other

Enumeration date
09/03/2020
Last updated
09/03/2020
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