Individual
MICHAEL PATRICK NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2240 WINROW AVE, USA MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613
(520) 533-9200
Mailing address
619 TEMPLE DR, SIERRA VISTA, AZ 85635-4452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-17091
KS
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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