Nicholas Haden

NPI #1386244531 in Lebanon, Missouri

Provider Information

NPI Number: 1386244531
Entity Type: Individual
Name: Nicholas Haden
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 27, 2020
Last Updated: Oct 27, 2020

Practice Location

Address: 1800 S JEFFERSON AVE
City: Lebanon
State: Missouri
ZIP Code: 65536-4208
Phone: (417) 532-7148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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