Individual
SUSAN C NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
400 VETERANS AVE, 119, BILOXI, MS 39531-2410
(228) 523-5236
Mailing address
130B CRITZ ST N, APT B, WIGGINS, MS 39577-3216
(601) 928-7142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09106
MS
183500000X
Pharmacist
14797
MS
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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