Individual
MR. CHARLES DOUGLAS NICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
1 FLOWER VALLEY SHOPPING CTR, FLORISSANT, MO 63033-1644
(314) 831-8400
(314) 831-3649
Mailing address
1 FLOWER VALLEY SHOPPING CTR, FLORISSANT, MO 63033-1644
(314) 831-8400
(314) 831-3649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042457
MO
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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