Individual
NICHOLAS PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5341 HIGHWAY 25, FLOWOOD, MS 39232-6173
(601) 992-8144
Mailing address
5341 HIGHWAY 25, FLOWOOD, MS 39232-6173
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E12609
MS
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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