Individual
MR. THOMAS C NIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
112 N LEBANON ST, LEBANON, IN 46052-2151
(765) 482-0180
Mailing address
1107 BROOKSIDE DR, LEBANON, IN 46052-1993
(765) 482-7879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016686
IN
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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