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Individual
MR. NICKOLAUS MACDONALD
Active
Individual
MR. NICKOLAUS MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03325882
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
03325882
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03325882
BOP
OH
Enumeration date
11/20/2020
Last updated
11/20/2020
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