Individual
JOANNA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1035 CAMBRIDGE ST, CAMBRIDGE, MA 02141-1057
(617) 806-8542
Mailing address
1035 CAMBRIDGE ST, CAMBRIDGE, MA 02141-1057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238167
MA
Other
Enumeration date
08/25/2019
Last updated
04/25/2021
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