MR. Walter C. Nicholas

NPI #1578667929 in Orange Beach, Alabama

Provider Information

NPI Number: 1578667929
Entity Type: Individual
Name: MR. Walter C. Nicholas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 25405 PERDIDO BLVD
City: Orange Beach
State: Alabama
ZIP Code: 36561
Phone: (251) 981-1796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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