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DR. NICHOLAS J GRAHAM PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1518562073
Individual Registrant:DR. NICHOLAS J GRAHAM PHARMD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1 MERCY WAY STE 50 BELLA VISTA, AR 72714-3000 US
Tel: 479-876-6200 Fax: --
Tel: 479-876-6200 Fax: --
Contact information for business:
1 MERCY WAY STE 50 BELLA VISTA, AR 72714-3000 US
Tel: 479-876-6200 Fax: --
Tel: 479-876-6200 Fax: --
Registration Information:
NPI: 1518562073
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AR | PD15009 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
