Individual
DR. JORDAN NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
210 PROVIDENCE HILL DR, APT. 146, ASHLAND, KY 41101-2294
(937) 903-9168
Mailing address
210 PROVIDENCE HILL DR, APT. 146, ASHLAND, KY 41101-2294
(937) 903-9168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03236575
OH
Other
Enumeration date
11/08/2016
Last updated
03/31/2021
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