Individual
JESSICA PAIGE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2153 E MAIN ST STE B9, DUNCAN, SC 29334-8863
(864) 486-4706
Mailing address
1111 BALLENGER RD, INMAN, SC 29349-7966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42514
SC
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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