NICHOLAS PHARMACY INC
421 Main St
Summersville, WV 26651
304-872-0517
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
Y | 332BX2000X | Suppliers - Durable Medical Equipment & Medical Supplies |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2109949 | OTHER | |
0143752000 | WV | MEDICAID |