Individual
DR. NICHOLAS JAMES MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
3865 GRAVOIS AVE, PHARMACY, SAINT LOUIS, MO 63116-4657
(314) 771-0218
Mailing address
2501 CONIFEROUS DR, BELLEVILLE, IL 62221-7960
(314) 435-7344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2006024033
MO
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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