Individual
MISS GEORGETTE CAROLYN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
409 W ROYALL BLVD, MALAKOFF, TX 75148-9499
(903) 489-1909
Mailing address
409 W ROYALL BLVD, MALAKOFF, TX 75148-9499
(903) 489-1909
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3464
TX
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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