Provider Demographics
NPI:1033404835
Name:PLANCHARD, NICHOLAS B (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:B
Last Name:PLANCHARD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10615 TUXFORD DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7068
Mailing Address - Country:US
Mailing Address - Phone:919-274-1753
Mailing Address - Fax:
Practice Address - Street 1:10615 TUXFORD DR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-7068
Practice Address - Country:US
Practice Address - Phone:919-274-1753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21499183500000X
GARPH026409183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist