Provider Demographics
NPI:1144477548
Name:NICOLS, SPIROS (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SPIROS
Middle Name:
Last Name:NICOLS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:SPIRO
Other - Middle Name:ARISTOTLE
Other - Last Name:NICOLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2419 SEMINARY RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1368
Mailing Address - Country:US
Mailing Address - Phone:301-585-0220
Mailing Address - Fax:
Practice Address - Street 1:50 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-745-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18911183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist