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Individual
MRS. KIMBERLY MCCLURE NICHOLS I
Active
Individual
MRS. KIMBERLY MCCLURE NICHOLS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH0018892
PHARMACY LICENSE
DC
Enumeration date
04/02/2007
Last updated
07/09/2007
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