Individual
DR. DANIELLE LYNN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5230 POPLAR TENT RD, CONCORD, NC 28027-7757
(704) 784-1977
Mailing address
5230 POPLAR TENT RD, CONCORD, NC 28027-7757
(704) 784-1977
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24456
NC
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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