Individual
DANA NICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 BOOTH RD, DECKERVILLE, MI 48427-9733
(810) 366-0100
Mailing address
2305 BOOTH RD, DECKERVILLE, MI 48427-9733
(810) 366-0100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042595
MI
Other
Enumeration date
04/19/2017
Last updated
01/11/2021
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