DR. Justin D Nicholls, PHARMD, BCOP, BCPS

NPI #1891790549 in Portland, Oregon

Provider Information

NPI Number: 1891790549
Entity Type: Individual
Name: DR. Justin D Nicholls, PHARMD, BCOP, BCPS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD, BCOP, BCPS
Enumeration Date: Jun 18, 2005
Last Updated: Oct 17, 2014

Practice Location

Address: 1201 NE LLOYD BLVD
Address 2: STE 510
City: Portland
State: Oregon
ZIP Code: 97232-1202
Phone: (971) 678-9127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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