Individual
DEBRA W NICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
217 W MAPLE AVE # 2, FAYETTEVILLE, WV 25840-1413
(304) 574-3991
(304) 574-3651
Mailing address
217 W MAPLE AVE # 2, FAYETTEVILLE, WV 25840-1413
(304) 574-3991
(304) 574-3651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00003666
WV
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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