DR. Mark Ryan Nickell, PHARMD

NPI #1356620348 in Anoka, Minnesota

Provider Information

NPI Number
1356620348
Entity Type
Individual
Name
DR. Mark Ryan Nickell, PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Aug 9, 2011
Last Updated
Aug 9, 2011

Practice Location

Address
100 MONROE ST
City
Anoka
ZIP Code
55303-2405
Phone
(763) 421-5540

Specialties & Taxonomy Codes

Specialty
Pharmacist

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