Individual
NICHOLAS WRIGHT-HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 W SYCAMORE ST, KOKOMO, IN 46901-4035
(765) 868-0140
Mailing address
2400 W SYCAMORE ST, KOKOMO, IN 46901-4035
(765) 868-0140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027947A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5360052668
STATE ID
IN
Enumeration date
06/20/2020
Last updated
06/20/2020
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