Individual
MR. SAMUEL S NIKOLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 LYNDON LN, LOUISVILLE, KY 40222-4618
(502) 426-1057
(502) 426-3237
Mailing address
520 LYNDON LN, LOUISVILLE, KY 40222-4618
(502) 426-1057
(502) 426-3237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8207
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8207
KY PHARMACY LICENSE NUMBER
KY
Enumeration date
10/15/2011
Last updated
10/15/2011
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