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Individual

SARA E. NICOLAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
810 W 35TH ST, SUITE B, HIGGINSVILLE, MO 64037-1872
(660) 584-2110
(660) 584-5589
Mailing address
52 E ARROW ST FL 2, P.O. BOX 917, MARSHALL, MO 65340-2101
(660) 886-5535
(660) 886-6320

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2009027312
MO
183500000X
Pharmacist
21119
IA

Other

Enumeration date
07/31/2009
Last updated
07/22/2010
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