David Eugene Nicklas, DPH
Pharmacist in Shawnee, OK. Individual provider (NPI-1).
NPI number1073523932
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1073523932
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Eugene Nicklas
- Credential
- DPH
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 9416 | OK | Yes |
Practice location
1442 N Harrison StShawnee, OK 74801-5208
Phone 405-273-9906 · Fax 405-273-4329
Mailing address
1807 Henson CtShawnee, OK 74804-4240
Phone 405-275-6169
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All 56 Pharmacist providers in Shawnee · All 1,457 providers in Shawnee
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