Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1962481697 |
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| LBN Legal business name | NICHOLAS PHARMACY INC | ||||||||
| Authorized official | MICHAEL CLARK - (GENERAL MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/11/2006 | ||||||||
| Last updated | 07/17/2018 - About 8 years ago | ||||||||
| Identifiers |
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