Individual
MS. GAYLE LYNNE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E BROADWAY ST, POCAHONTAS, AR 72455-3402
(870) 892-5615
(870) 892-2592
Mailing address
135 3RD ST, BIGGERS, AR 72413-9522
(870) 810-1836
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT88066
AR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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