DR. Katelyn Ellen Nichols, PHARMD

NPI #1093062424 in Green Bay, Wisconsin

Provider Information

NPI Number: 1093062424
Entity Type: Individual
Name: DR. Katelyn Ellen Nichols, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 3, 2012
Last Updated: Feb 7, 2015

Practice Location

Address: 2851 UNIVERSITY AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54311-5855
Phone: (920) 431-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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