Individual
NICHOLAS MICHAEL BOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13992 MANCHESTER RD, BALLWIN, MO 63011-4517
(636) 227-9228
Mailing address
13992 MANCHESTER RD, BALLWIN, MO 63011-4517
(636) 227-9228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021033951
MO
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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