Nicholls Pharmacy

NPI 1457460198 - Pharmacist - 183500000X

NPI Details
NPI 1457460198
Enumeration Date 08/29/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRAD W BRAD
Position OWNER/PHARMACIST
Phone (912) 345-2444
Fax
Practice Location
1003 VAN STREAT HWY
NICHOLLS GA, 31554, US
Phone (912) 345-2444
Fax
Business Location
1003 VAN STREAT HWY
PO BOX 247
NICHOLLS GA, 31554, US
Phone (912) 345-2444
Fax
Toxanomy
Taxonomy Code 183500000X
License State Georgia
License Number PHRE006030
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According to our database, Nicholls Pharmacy NPI is 1457460198, taxonomy code is 183500000X and license number is PHRE006030, license state is located at Georgia. Nicholls Pharmacy physically located at 1003 Van Streat Hwy, Nicholls GA, 31554. NPI Number 1033115704 has the healthcare provider type.

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1457460198 NPI number is provided on an as is basis without warranty of any kind. 1457460198 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholls Pharmacy are for informational purposes only.