Petersen, Nicole Marie

Petersen, Nicole Marie is an individual health care provider with primary practice located at 8200 N Lindbergh Blvd Schnucks Pharmacy, Florissant MO 63031-7107. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Petersen, Nicole Marie can be contacted via phone (314) 921-7345.

Contact Information

Primary practice address
8200 N Lindbergh Blvd Schnucks Pharmacy Florissant MO 63031-7107
Phone: (314) 921-7345
Fax: (314) 921-7346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2003023575 Missouri
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1144227448
LBN Legal business name Petersen, Nicole Marie
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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