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Individual

DR. NICHOLAS ANDREW GILLESPIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
3300 S OATES ST, DOTHAN, AL 36301-5694
(334) 702-0840
(334) 702-0580
Mailing address
125 MOUNTAINVIEW DR, MONTGOMERY, AL 36109-4107
(334) 221-9193

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19947
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19947
ALABAMA STATE BOARD OF PHARMACY
AL
Enumeration date
06/14/2018
Last updated
06/14/2018
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