# MARTIN MICHAEL MCNICHOLS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184235723
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 051304394 | IL | — |
| 183500000X | Pharmacist | 125344 | MN | — |
| 183500000X | Pharmacist | 183519 | AK | Yes |
| 183500000X | Pharmacist | 21075 | WI | — |
| 183500000X | Pharmacist | PCT.0015989 | CT | — |
| 183500000X | Pharmacist | PHA.0024006 | CO | — |
| 183500000X | Pharmacist | PHCY-01321 | NH | — |
| 183500000X | Pharmacist | PS63330 | FL | — |
| 183500000X | Pharmacist | S025829 | AZ | — |

## Other

- **Enumeration date:** 08/16/2020
- **Last updated:** 06/15/2022