DEBRA STEVENS NICHOLAS

CANDLER, NC
NPI1477005478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NC  25937)
Additional Taxonomies183500000X Pharmacist
(Licence: TN  8032)
183500000X Pharmacist
(Licence: IL  051.289817)
Enumeration Date2016-10-26
Last Update Date2016-10-26
Business Address
-- DEBRA STEVENS NICHOLAS RPh
72 WILLOW BND
CANDLER, NC 28715-8728
Phone number: 618-889-6001
Mailing Address
-- DEBRA STEVENS NICHOLAS RPh
72 WILLOW BND
CANDLER, NC 28715-8728
Phone number: 618-889-6001