MR. Ricky Nickerson, RPH

NPI #1386930741 in Venice, Florida

Provider Information

NPI Number: 1386930741
Entity Type: Individual
Name: MR. Ricky Nickerson, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 23, 2011
Last Updated: Jun 23, 2011

Practice Location

Address: 4271 TAMIAMI TRL S
Address 2: T-0813
City: Venice
State: Florida
ZIP Code: 34293-5131
Phone: (941) 497-7885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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