Individual
RYAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
627 FAIRMONT AVE, FAIRMONT, WV 26554-5103
(304) 366-4526
(304) 366-4508
Mailing address
627 FAIRMONT AVE, FAIRMONT, WV 26554-5103
(304) 366-4526
(304) 366-4508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007277
WV
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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