Provider Demographics
NPI:1942618418
Name:NIXON, JUSTIN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:
Last Name:NIXON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1545 DUBS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-8547
Mailing Address - Country:US
Mailing Address - Phone:717-698-0603
Mailing Address - Fax:
Practice Address - Street 1:509 E BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:TANEYTOWN
Practice Address - State:MD
Practice Address - Zip Code:21787-2409
Practice Address - Country:US
Practice Address - Phone:410-756-2548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist