Individual
LISA N NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
541 HISTORIC OLD HIGHWAY 441, CLARKESVILLE, GA 30523-3983
(706) 754-3113
Mailing address
PO BOX 1835, CLARKESVILLE, GA 30523-0031
(706) 754-3113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH014865
GA
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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