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NPI Code Detail

MEDICARE: DR. CARLI NICHOLSON PHARMD

MEDICARE: DR. CARLI NICHOLSON 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
1183500000XPharmacist03337959OH

General Provider Information

NPI Number : 1679157143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLI NICHOLSON PHARMD
Provider Business Mailing Address
First Line : 7129 BOLTON PRIORY DR
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-5900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1320 W MAIN ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-3699
Country : US
Telephone Number : 330-344-4540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2021
Last Update Date : 05/10/2021

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Directions to “ DR. CARLI NICHOLSON PHARMD” Practice Location

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