Individual
DR. TRINITY K NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
67 WATSON DR, MANTACHIE, MS 38855-8390
(662) 282-4245
Mailing address
212 HOTZEE RD, MANTACHIE, MS 38855-8053
(662) 282-4245
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E09920
MS
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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