Individual
ADAM NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
920 RED LION RD, PHILADELPHIA, PA 19115-1500
(215) 676-6279
Mailing address
920 RED LION RD, PHILADELPHIA, PA 19115-1500
(215) 676-6279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP455883
PA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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