Individual
DR. BRANDI NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4076 NEELY RD, FORT WAINWRIGHT, AK 99703
(907) 361-5758
Mailing address
11401 S OLD JONES RD, FLORAL CITY, FL 34436-5106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56768
FL
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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