Individual
MR. NICHOLAS STANLEY TYMOCHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10705 W INDIAN SCHOOL RD, AVONDALE, AZ 85392-5636
(623) 877-3245
Mailing address
333 E ROOSEVELT ST, APT 520, PHOENIX, AZ 85004-1934
(724) 456-1399
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020662
AZ
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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