Individual
MR. JIM NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
244 HIGH WATCH RD, EFFINGHAM, NH 03882-8336
(603) 539-8780
(603) 539-8824
Mailing address
7 EASTSIDE RD, APT # 1, NORTH CONWAY, NH 03860
(603) 539-8780
(603) 539-8824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R953
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R953
PHARMACY LICENSE
NH
Enumeration date
10/26/2012
Last updated
10/26/2012
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