Johnny E Nicely
Johnny E Nicely is a Pharmacist in Live Oak, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
10820 Marvin E Jones BlvdLive Oak, FL 32060
Phone: (386) 658-5860
Fax: (386) 658-5130
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence PS16420 (FL) |
|---|
Record details
| NPI number | 1659444578 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 16, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 10820 Marvin E. Jones Blvd., Live Oak, FL 32060 |
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