Individual
HERBERT NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1583 PRATT ST, DELAND, FL 32720-8445
(386) 290-3529
Mailing address
1583 PRATT ST, DELAND, FL 32720-8445
(386) 290-3529
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PS36246
FL
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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