Individual
DR. NIKOLAS SHAUGHNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
705 ELM ST W, HAMPTON, SC 29924-3105
(803) 943-4446
Mailing address
1502 BENTON BLVD APT 3307, POOLER, GA 31322-5146
(217) 691-0512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
028080
GA
183500000X
Pharmacist
Primary
35745
SC
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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