MR. David Eugene Nicklas, DPH

NPI #1073523932 in Shawnee, Oklahoma

Provider Information

NPI Number: 1073523932
Entity Type: Individual
Name: MR. David Eugene Nicklas, DPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: DPH
Enumeration Date: Aug 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1442 N HARRISON ST
City: Shawnee
State: Oklahoma
ZIP Code: 74801-5208
Phone: (405) 273-9906

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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