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NPI Code Detail

MEDICARE: DR. NICHOLAS JEFFREY BILLINGS PHARMD

MEDICARE:  DR. NICHOLAS JEFFREY BILLINGS  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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistE-15533MS

General Provider Information

NPI Number : 1548808421
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS JEFFREY BILLINGS PHARMD
Provider Business Mailing Address
First Line : 618 CONTI DR
Second Line :
City : BRANDON
State : MS
Zip : 39042-6611
Country : US
Telephone Number : 662-420-9668
Fax Number :
Provider Business Practice Location Address
First Line : 6745 S SIWELL RD
Second Line :
City : BYRAM
State : MS
Zip : 39272-8747
Country : US
Telephone Number : 601-863-2004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2019
Last Update Date : 03/10/2020

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Directions to “ DR. NICHOLAS JEFFREY BILLINGS PHARMD” Practice Location

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