Individual
BRYAN JOSEPH HERCULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, MS
Contact information
Practice address
2514 WOODSON RD, OVERLAND, MO 63114-5437
(314) 427-1818
(314) 423-9905
Mailing address
2514 WOODSON RD, OVERLAND, MO 63114-5437
(314) 427-1818
(314) 423-9905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041586
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600279202
—
MO
Enumeration date
02/04/2021
Last updated
02/04/2021
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