Individual
DR. MELANIE BAKER NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
134 COURTRIGHT RD, MARTIN, TN 38237-1606
(731) 587-3819
Mailing address
134 COURTRIGHT RD, MARTIN, TN 38237-1606
(731) 587-3819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9784
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9784
PHARMACY LICENSE
TN
Enumeration date
08/30/2017
Last updated
07/21/2022
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