Individual
CAROLINE NORA MCNICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12003 S PULASKI RD, ALSIP, IL 60803-1221
(708) 389-2725
Mailing address
12003 S PULASKI RD, ALSIP, IL 60803-1221
(708) 389-2725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051305846
IL
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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