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NPI Code Detail

MEDICARE: DR. MOLLY ANNABELLE NICHOLS PHARMD

MEDICARE: DR. MOLLY ANNABELLE NICHOLS 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
1183500000XPharmacist26028390AIN

General Provider Information

NPI Number : 1447806534
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOLLY ANNABELLE NICHOLS PHARMD
Provider Business Mailing Address
First Line : 873 W CARMEL DR
Second Line :
City : CARMEL
State : IN
Zip : 46032-5804
Country : US
Telephone Number : 317-580-0260
Fax Number :
Provider Business Practice Location Address
First Line : 7120 CLEARVISTA DR STE 1900
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1569
Country : US
Telephone Number : 317-567-2651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2019
Last Update Date : 08/14/2019

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