Individual
MR. MICHAEL D BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9395 OLIVE BLVD, OLIVETTE, MO 63132
(314) 432-8660
(314) 432-7075
Mailing address
9395 OLIVE BLVD, OLIVETTE, MO 63132-3216
(314) 432-8660
(314) 432-7075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041817
MO
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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