Adam Nichols

NPI #1174122063 in Muskego, Wisconsin

Provider Information

NPI Number: 1174122063
Entity Type: Individual
Name: Adam Nichols
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 21, 2020
Last Updated: Oct 21, 2020

Practice Location

Address: W159S6530 MOORLAND RD
City: Muskego
State: Wisconsin
ZIP Code: 53150-7515
Phone: (414) 209-0324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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