Individual
NICOLE THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1301 HAL GREER BLVD, HUNTINGTON, WV 25701-3803
(304) 399-3355
(304) 399-3356
Mailing address
1301 HAL GREER BLVD, HUNTINGTON, WV 25701-3803
(304) 399-3355
(304) 399-3356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009326
WV
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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