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

ALISA NICHOLS, RPH

Active Sole Proprietor

ALISA NICHOLS, RPH is a Pharmacist healthcare provider located in DECATUR, Illinois. NPI 1336796044 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · DECATUR, IL

Registration Details

NPI Number
1336796044
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2019 (6.9487681059194 yrs)
Last Updated
Aug 19, 2019
License
051037047 (IL)
Sole Proprietor
Yes

Practice Information

Address
4625 E MARYLAND ST
DECATUR, IL, 625215092
Browse IL providers · Browse ZIP 62521
Phone
2178649288
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in DECATUR, IL

Name Credential NPI
WAYNE R BEEKMAN RPH 1093835597
MADANA M CHILAKURI 1609191279
TERRY LAMONT JONES RPH 1619293859
DR. STEPHAN R DRAUGHAN PHARMD 1851694053
SARA ANN ECKLUND PHARM.D. 1750688966
MS. HALLEY SIEDRA CONNOR PHARMD 1043518889
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.