Individual
NICHOLAS AVERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1135 N MESA DR, MESA, AZ 85201-3504
(480) 898-8025
Mailing address
746 W UNIVERSITY DR, MESA, AZ 85201-5613
(480) 208-8895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025832
AZ
Other
Enumeration date
05/26/2022
Last updated
12/24/2024
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