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Organization
NICHOLS PHARMACY INC
Active
Organization
NICHOLS PHARMACY INC
Active
Other names
NICHOLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN PINDER (PRES CHIEF PHARM)
(337) 786-4004
Entity
Organization
Contact information
Practice address
915 E FOURTH ST, DEQUINCY, LA 70633-3709
(337) 786-4004
(337) 786-4005
Mailing address
PO BOX 355, DEQUINCY, LA 70633-0355
(337) 786-4000
(337) 786-4005
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY000818IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1231541
—
LA
01
—
1904944
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
01/25/2012
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