Individual
KRISTEN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4020 CONCORD PIKE, WILMINGTON, DE 19803-1718
(302) 478-1510
Mailing address
4020 CONCORD PIKE, WILMINGTON, DE 19803-1718
(302) 478-1510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A10002543
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1-0002543
STATE OF DELAWARE
DE
Enumeration date
09/25/2011
Last updated
10/05/2021
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