Individual
NICHOLAS ADAM WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1921 W PARRISH AVE, OWENSBORO, KY 42301-3542
(270) 683-0223
Mailing address
1423 BOOTH AVE, OWENSBORO, KY 42301-4456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015550
KY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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