Individual
DR. NICHOLAS CHARLES NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 266-9251
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 266-9251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011023431
MO
Other
Enumeration date
07/26/2011
Last updated
03/30/2012
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