Individual
MR. NICHOLAS JAMES LEGRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 W. FIRST ST., MARBLE HILL, MO 63764-9218
(573) 238-4177
(573) 238-4986
Mailing address
106 W. FIRST ST PO BOX 739, MARBLE HILL, MO 63764-9218
(573) 238-4177
(573) 238-4986
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2018028007
MO
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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