Individual
MR. DERICK G NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
14 PETERBOROUGH ST, JAFFREY, NH 03452-5857
(603) 532-6955
Mailing address
14 PETERBOROUGH ST, JAFFREY, NH 03452-5857
(603) 532-6955
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2593
NH
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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