Nicholls Pharmacy Llc
Community/Retail Pharmacy
1003 Van Streat Hwy, Nicholls
Georgia, 31554-5031
912-345-1021 912-345-1023
Nicholls Pharmacy Llc is a Community/Retail Pharmacy in Nicholls, Georgia. It is located at 1003 Van Streat Hwy, Nicholls and it's customer support contact number is 912-345-1021. The authorized person of Nicholls Pharmacy Llc is Jan Scott, RPH who is Owner,pres,pic,ao of the pharmacy and his contact number is 912-345-1021. Active license number of Nicholls Pharmacy Llc is PHRE009134 for Community/Retail Pharmacy in Georgia.
Nicholls Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Nicholls Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Nicholls Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1003 Van Streat Hwy, Nicholls,
Georgia, 31554-5031 |
| Phone: | 912-345-1021 |
| Fax: | 912-345-1023 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jan Scott |
| Credentials: | RPH |
| Position: | Owner,pres,pic,ao |
| Contact Number: | 912-345-1021 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1184748808 |
| NPI Enumeration Date: | 19 Mar, 2007 |
| NPI Last Update On: | 17 Sep, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicholls Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHRE009134 | Georgia | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 569772164A | Medicaid | Georgia | |
| 2016489 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 247,
Nicholls, Georgia |
| Zip: | 31554-0247 |
| Phone Number: | 912-345-1021 |
| Fax Number: | 912-345-1023 |
Patients can reach Nicholls Pharmacy Llc at
1003 Van Streat Hwy, Nicholls, Georgia or can
call on customer care at 912-345-1021.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.