MS. Kelly Lynn Nicewonger, PHARM.D

NPI #1962792903 in Fryburg, Pennsylvania

Provider Information

NPI Number: 1962792903
Entity Type: Individual
Name: MS. Kelly Lynn Nicewonger, PHARM.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D
Enumeration Date: Apr 11, 2011
Last Updated: Apr 11, 2011

Practice Location

Address: 328 DEMPSEYTOWN RD
City: Fryburg
State: Pennsylvania
ZIP Code: 16326-1208
Phone: (814) 221-3564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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