Nicolet Pharmacy, Inc.
NPI #1114290707 in Lakewood, Wisconsin
Provider Information
- NPI Number
- 1114290707
- Entity Type
- Organization
- Organization Name
- Nicolet Pharmacy, Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 14, 2012
- Last Updated
- Feb 14, 2012
Practice Location
Authorized Official
- Name
- GARY DONALDSON
- Title
- PRESIDENT
- Phone
- (715) 276-3646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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