Individual
MRS. DENISE LICKING NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
011625
KY
183500000X
Pharmacist
03122746
OH
183500000X
Pharmacist
Primary
117185
MN
183500000X
Pharmacist
117185-7
MN
183500000X
Pharmacist
18166
AL
183500000X
Pharmacist
26018645A
IN
183500000X
Pharmacist
PST.019409
LA
183500000X
Pharmacist
RP0008290
WV
183500000X
Pharmacist
RPH-0012617
OR
Other
Enumeration date
12/14/2005
Last updated
01/11/2021
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