Individual
RUSSELL NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
893 S DELAWARE ST, INDIANAPOLIS, IN 46225-1782
(317) 276-9699
Mailing address
3589 CALLOWELL CT, CARMEL, IN 46032-8215
(317) 732-5241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021396A
IN
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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