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Individual

SCOTT GALEN NICHOLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3215 SW MACVICAR AVE, TOPEKA, KS 66611-1836
(785) 783-3041
Mailing address
3215 SW MACVICAR AVE, TOPEKA, KS 66611-1836
(785) 783-3041

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10573
KS
183500000X
Pharmacist
2013016827
MO

Other

Enumeration date
03/13/2014
Last updated
03/13/2014
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