Eric J Nickisch, PHARM.D.

NPI #1720388168 in Lame Deer, Montana

Provider Information

NPI Number: 1720388168
Entity Type: Individual
Name: Eric J Nickisch, PHARM.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Nov 2, 2010
Last Updated: Nov 2, 2010

Practice Location

Address: 100 CHEYENNE AVE
City: Lame Deer
State: Montana
ZIP Code: 59043-0070
Phone: (406) 477-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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