Healthcare Provider Details

I. General information

NPI: 1306014824
Provider Name (Legal Business Name): CATHY NICHOLS FRANCISCO RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2008
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 ELKHORN STREET
ELKHORN CITY KY
41522-0439
US

IV. Provider business mailing address

PO BOX 439
ELKHORN CITY KY
41522-0439
US

V. Phone/Fax

Practice location:
  • Phone: 606-754-5076
  • Fax: 606-754-5557
Mailing address:
  • Phone: 606-754-5076
  • Fax: 606-754-5557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8206
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: