DR. Ronald Wayne Nicholas, DPH

NPI #1295816692 in Wagoner, Oklahoma

Provider Information

NPI Number: 1295816692
Entity Type: Individual
Name: DR. Ronald Wayne Nicholas, DPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: DPH
Enumeration Date: Oct 18, 2006
Last Updated: Jun 23, 2009

Practice Location

Address: 326 E CHEROKEE ST
City: Wagoner
State: Oklahoma
ZIP Code: 74467-4706
Phone: (918) 485-2317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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