ALISA NICHOLS, RPH

Pharmacist

Active Individual
NPI: 1336796044

Practice Address

4625 E MARYLAND ST
Decatur, IL 62521

Phone: (217) 864-9288

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes 051037047 (IL)

Frequently Asked Questions

NPI 1336796044 is the National Provider Identifier for ALISA NICHOLS, RPH, a Pharmacist provider located in Decatur, IL. This NPI was enumerated on August 19, 2019.
ALISA NICHOLS, RPH practices at 4625 E MARYLAND ST, Decatur, IL 62521.

Quick Facts

NPI
1336796044
Type
Individual
Enumerated
Aug 19, 2019
Last Updated
Aug 19, 2019

Nearby Providers