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NPI Code Detail

MEDICARE: DR. NATHAN ROBERT BROCKMEIER PHARM D

MEDICARE: DR. NATHAN ROBERT BROCKMEIER PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist2009017931MO

General Provider Information

NPI Number : 1295018307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN ROBERT BROCKMEIER PHARM D
Provider Business Mailing Address
First Line : 7334 S LINDBERGH BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63125-4522
Country : US
Telephone Number : 314-892-8356
Fax Number :
Provider Business Practice Location Address
First Line : 7334 S LINDBERGH BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63125-4522
Country : US
Telephone Number : 314-892-8356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2011
Last Update Date : 09/02/2025

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