NICHOLAS MATHIS

SURPRISE, AZ
NPI1952963308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S023941)
Enumeration Date2019-07-07
Last Update Date2019-07-07
Business Address
NICHOLAS MATHIS
15300 N COTTON LN
SURPRISE, AZ 85388-9613
Phone number: 623-584-8558
Mailing Address
NICHOLAS MATHIS
266 E SMOKE TREE LN
PRESCOTT, AZ 86301
Phone number: 208-573-5617