Individual
NELLY EFFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
810 EDGAR RD, SAINT LOUIS, MO 63119-4928
(314) 805-7070
Mailing address
810 EDGAR RD, SAINT LOUIS, MO 63119-4928
(314) 805-7070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2003020526
MO
Other
Enumeration date
01/07/2021
Last updated
01/08/2021
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