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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DAVID EUGENE NICKLAS, DPH

Active Sole Proprietor

Pharmacist · SHAWNEE, OK

Registration Details

NPI Number
1073523932
Provider Type
Individual
Gender
Male
NPI Issued
Aug 9, 2006 (19.712708148039 yrs)
Last Updated
Jul 8, 2007
License
9416 (OK)
Sole Proprietor
Yes

Practice Information

Address
1442 N HARRISON ST
SHAWNEE, OK, 748015208
Browse OK providers · Browse ZIP 74801
Phone
4052739906
Fax
4052734329
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in SHAWNEE, OK

Name Credential NPI
MR. IAN ROBERT BITTLE DPH 1275578098
CAROL ANN DIAMOND DPH 1114953064
PENNY D SOUTHERN DPH 1659307460
CONNIE COX D.PH. 1043247836
DR. ERIC WINEGARDNER D.PH. 1720004542
TIMOTHY ALAN BARRICK D.PH. 1598842767
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.