Individual
NICHOLAS JAMES PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6215
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS54919
FL
183500000X
Pharmacist
RP00008643
NM
183500000X
Pharmacist
Primary
S022168
AZ
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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