Nicholls Pharmacy

NPI #1457460198 in Nicholls, Georgia

Provider Information

NPI Number: 1457460198
Entity Type: Organization
Organization Name: Nicholls Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Aug 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1003 VAN STREAT HWY
City: Nicholls
State: Georgia
ZIP Code: 31554
Phone: (912) 345-2444

Authorized Official

Name: BRAD W MOBLEY, REG PHARMACIST
Title: OWNER/PHARMACIST
Phone: (912) 345-2444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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