| NPI | 1962481697 |
|---|---|
| Doing Business As | NICHOLAS PHARMACY |
| Doing Business As | NICHOLAS HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CLARK General Manager 304-872-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2018-07-17 |