Individual
DR. LANCE MICHAEL NICHOLLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
25 TAMARACK DR, NEW MILFORD, CT 06776-3226
(860) 210-1811
Mailing address
25 TAMARACK DR, NEW MILFORD, CT 06776-3226
(860) 210-1811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-3-25478
OH
183500000X
Pharmacist
Primary
10055
CT
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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