Individual
GARY ALAN NICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
150 MADISON RD, CULPEPER, VA 22701-3405
(540) 825-8322
(540) 829-8529
Mailing address
150 MADISON RD, CULPEPER, VA 22701-3405
(540) 825-8322
(540) 829-8529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009130
VA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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