Most Relevant Information
Provider Data
| NPI Number: | 1003416025 |
| Provider Name: | NICOLE CHAMMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 03329322 |
Most Important Dates
| Enumeration Date: | 10/28/2020 |
| Last Updated: | 10/28/2020 |
Provider Practice Location
200 GOLDIE RD
YOUNGSTOWN
OH
445051948
Practice Location Phone/Fax
| Phone: | 3307592689 |
| Fax: |
Provider Mailing Location
200 GOLDIE RD
YOUNGSTOWN
OH
445051948
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |