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Individual

DR. IAN MCNICHOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D., BCPS

Contact information

Practice address
995 POTRERO AVE, UCSF POSITIVE HEALTH PRACTICE, BLDG 80, WARD 86, SAN FRANCISCO, CA 94110-2859
(415) 206-2421
Mailing address
995 POTRERO AVE BLDG 80 W86, UCSF POSITIVE HEALTH PRACTICE, SAN FRANCISCO, CA 94110
(415) 206-2421

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
052364
CA

Other

Enumeration date
06/13/2006
Last updated
07/08/2007
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