Alisa Nichols, RPH

NPI #1336796044 in Decatur, Illinois

Provider Information

NPI Number
1336796044
Entity Type
Individual
Name
Alisa Nichols, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Aug 19, 2019
Last Updated
Aug 19, 2019

Practice Location

Address
4625 E MARYLAND ST
ZIP Code
62521-5092
Phone
(217) 864-9288

Specialties & Taxonomy Codes

Specialty
Pharmacist

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