Individual
DR. NICHOLAS SHAWN WREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 WALTON AVE, DANVILLE, KY 40422-8414
(859) 236-2411
Mailing address
204 MAN O WAR DR, DANVILLE, KY 40422-9298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019145
KY
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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