DR. Shelly R Nickerson, PHARMD
NPI #1619166410 in Gothenburg, Nebraska
Provider Information
- NPI Number
- 1619166410
- Entity Type
- Individual
- Name
- DR. Shelly R Nickerson, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Oct 17, 2007
- Last Updated
- Aug 15, 2016
Practice Location
- Address
- 828 LAKE AVE
- Address 2
- STE F
- City
- Gothenburg
- State
- Nebraska
- ZIP Code
- 69138-1950
- Phone
- (308) 537-2294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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