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Individual

MR. EDDIE FRANK NICHOLS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
3103 ALTALOMA CV, VESTAVIA, AL 35216-4207
(205) 979-3534
Mailing address
3103 ALTALOMA CV, VESTAVIA, AL 35216-4207
(205) 979-3534

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12072
AL
183500000X
Pharmacist
16543
GA
183500000X
Pharmacist
PS26547
FL

Other

Enumeration date
12/30/2007
Last updated
12/30/2007
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