Individual
MS. PATRICIA KIEFFER NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
427 HIGHWAY 425 N, MONTICELLO, AR 71655-4015
(870) 367-3559
(870) 367-5086
Mailing address
119 SCENIC DR, MONTICELLO, AR 71655-9491
(870) 723-1385
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06965
AR
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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