Individual
MR. DAVID NICHOLSON GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
206 N MAIN ST, BROOKFIELD, MO 64628-1644
(660) 258-2122
(660) 258-7338
Mailing address
206 N MAIN ST, BROOKFIELD, MO 64628-1644
(660) 258-2122
(660) 258-7338
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
042291
MO
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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