Individual
DR. ANDREW NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7321 CANTRELL RD, LITTLE ROCK, AR 72207-4144
(479) 426-4065
Mailing address
124 CARNELIAN DR, SHERWOOD, AR 72120-2362
(479) 426-4065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28754
NC
183500000X
Pharmacist
Primary
PD15102
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28754
NORTH CAROLINA PHARMACIST LICENSE
NC
01
—
PD15102
PHARMACIST LICENSE
AR
Enumeration date
01/20/2021
Last updated
02/20/2024
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