Individual
LEO NICHOLL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 ROUTE 9 S, LITTLE EGG HARBOR TWP, NJ 08087-2225
(609) 296-2803
Mailing address
425 ROUTE 9 S, LITTLE EGG HARBOR TWP, NJ 08087-2225
(609) 296-2803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03278400
NJ
183500000X
Pharmacist
RP034801L
PA
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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