Individual
CRAIG ANTHONY NICHOLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1601 PARK PLACE AVE, SUITE B, FORT WORTH, TX 76110-1303
(817) 924-9292
Mailing address
1601 PARK PLACE AVE, SUITE B, FORT WORTH, TX 76110-1303
(817) 924-9292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30116
TX
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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