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Individual

JACOB DANIEL NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
2951 COTTINGHAM EXPY, PINEVILLE, LA 71360-4389
(318) 640-0145
Mailing address
120 CRAIG RD, PINEVILLE, LA 71360-6331
(318) 229-5437

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021695
LA

Other

Enumeration date
08/26/2016
Last updated
08/26/2016
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