Individual
MR. BRUCE SEELEY NICHOLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3023 N BALLAS RD, SAINT LOUIS, MO 63131-2330
(314) 996-7501
Mailing address
905 HOLIDAY AVE, HAZELWOOD, MO 63042-3325
(314) 895-3657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042810
MO
Other
Enumeration date
05/13/2006
Last updated
07/08/2007
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