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Individual

MR. CHARLES D NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1209 ATLANTIC BLVD, NEPTUNE BEACH, FL 32266-1711
(904) 249-3900
(904) 249-9009
Mailing address
227 DAVIS ST, NEPTUNE BEACH, FL 32266-4928
(904) 241-8239

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0019225
FL

Other

Enumeration date
09/06/2006
Last updated
07/08/2007
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