Individual provider · Type 1 NPI

James Kim Nuckolls, BS

Pharmacist · Bolivar, TN

NPI number 1043363484 Active

Practice location

600 Nuckolls Rd
Bolivar, TN 38008-1532

Fax (731) 658-1758

Mailing address

222 Barrett St
Bolivar, TN 38008-1128

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XE5645 (MS)
Pharmacist Primary 183500000X3703 (TN)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1043363484

James Kim Nuckolls, BS's National Provider Identifier is 1043363484, issued on Jan 19, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bolivar, TN. The record was last updated on Jul 8, 2007.