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1689120081
JACOB DANIEL NICHOLS
PINEVILLE, LA
NPI
1689120081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 021695)
Enumeration Date
2016-08-26
Last Update Date
2016-08-26
Business Address
JACOB DANIEL NICHOLS PHARM.D.
2951 COTTINGHAM EXPY
PINEVILLE, LA 71360-4389
Phone number: 318-640-0145
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Mailing Address
JACOB DANIEL NICHOLS PHARM.D.
120 CRAIG RD
PINEVILLE, LA 71360-6331
Phone number: 318-229-5437
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