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Contact Information

NICKAL INC
171 S. MAIN ST.
PROSPECT, OH43342
 Phone: 740-494-2663
 Fax: 740-494-4087
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NICKAL INC

NPI # 1740354042
LBN Legal business name NICKAL INC
Authorized official TIMMY SHEEHAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2006
Last updated 01/24/2014 - About 12 years ago
Identifiers
OH License # 02069125004609
OH Medicaid 0871169
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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