Individual
MRS. NICOLE W. CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11346 RIVER OAK CIR, TUSCALOOSA, AL 35405-8106
(205) 454-6129
Mailing address
11346 RIVER OAK CIR, TUSCALOOSA, AL 35405-8106
(205) 454-6129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15196
AL
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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