Individual
KERRI KOLEEN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTORATE PHARMACY
Contact information
Practice address
1851 VERNACI DR, WASHINGTON, MO 63090-6174
(368) 257-7016
Mailing address
1030 W 5TH ST, WASHINGTON, MO 63090-1626
(636) 221-1637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18553-40
WI
Other
Enumeration date
10/27/2017
Last updated
10/02/2023
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