Provider Demographics
NPI:1699985010
Name:NICHOLS, FREDERICK WILLIAM JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:WILLIAM
Last Name:NICHOLS
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:FRITZ
Other - Middle Name:WILLIAM
Other - Last Name:NICHOLS
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3002 E 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-4726
Mailing Address - Country:US
Mailing Address - Phone:509-994-4877
Mailing Address - Fax:
Practice Address - Street 1:101 W 8TH AVE
Practice Address - Street 2:SACRED HEART MEDICAL CENTER PHARMACY DEPARTMENT
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2307
Practice Address - Country:US
Practice Address - Phone:509-474-3242
Practice Address - Fax:509-474-4468
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000653661835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy