Individual
DR. NICHOLAS LARICCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1800 S KENSINGTON DR, APPLETON, WI 54915-4136
(920) 749-9775
Mailing address
1800 S KENSINGTON DR, APPLETON, WI 54915-4136
(920) 749-9775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.299181
IL
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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