Organization
NICHOLS DRUG STORES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LEO NICHOLS (OWNER)
(231) 757-3749
Entity
Organization
Contact information
Practice address
112 S MAIN ST, SCOTTVILLE, MI 49454-1221
(231) 757-3749
(231) 757-2396
Mailing address
112 S MAIN ST, SCOTTVILLE, MI 49454-1221
(231) 757-3749
(231) 757-2396
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301001614
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518947
—
MI
05
—
1986223
—
MI
Enumeration date
07/16/2006
Last updated
02/06/2008
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