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EKATERINA NICHOLS
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1073161063
Individual Registrant: EKATERINA NICHOLS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
238 S US HIGHWAY 17 EAST PALATKA, FL 32131-6059 US
Tel: 386-328-6713 Fax: --
Tel: 386-328-6713 Fax: --
Contact information for business:
238 S US HIGHWAY 17 EAST PALATKA, FL 32131-6059 US
Tel: 386-328-6713 Fax: --
Tel: 386-328-6713 Fax: --
Registration Information:
NPI: 1073161063
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | FL | PS59919 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
