Michele Nicholson, R.PH.

NPI #1356584494 in Red Wing, Minnesota

Provider Information

NPI Number: 1356584494
Entity Type: Individual
Name: Michele Nicholson, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Apr 17, 2009
Last Updated: Oct 4, 2011

Practice Location

Address: 295 TYLER ROAD SOUTH
City: Red Wing
State: Minnesota
ZIP Code: 55066-1305
Phone: (651) 385-0594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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