Individual
DR. REBECCA NICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6922 W 10TH ST, GREELEY, CO 80634-9726
(970) 392-4150
(970) 392-4152
Mailing address
6922 W 10TH ST, GREELEY, CO 80634-9726
(970) 352-4150
(970) 352-4152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18688
CO
Other
Enumeration date
04/05/2013
Last updated
10/23/2020
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