Individual
ZACHERY THOMAS NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(843) 864-3744
Mailing address
211 HENRY ST APT 3B, NEW YORK, NY 10002-4825
(843) 864-3744
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
070703
NY
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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