Individual
NICHOLAS KUKLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
939 YORK RD, TOWSON, MD 21204-2514
(410) 823-8970
Mailing address
939 YORK RD, TOWSON, MD 21204-2514
(410) 823-8970
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22724
MD
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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