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NPI Code Detail

MEDICARE: NICHOLAS SINCLAIR PHARMD

MEDICARE: NICHOLAS SINCLAIR PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051290520IL

General Provider Information

NPI Number : 1154606937
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS SINCLAIR PHARMD
Provider Business Mailing Address
First Line : 1400 E LAKE COOK RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-8217
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 E LAKE COOK RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-8217
Country : US
Telephone Number : 224-676-5345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2011
Last Update Date : 10/12/2011

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Directions to “ NICHOLAS SINCLAIR PHARMD” Practice Location

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