Individual
DEANNA NICKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
847 HIGHWAY 378, LEXINGTON, SC 29072-8316
(803) 996-6171
Mailing address
319 LIGHTNING BUG LN, LEXINGTON, SC 29072-6709
(803) 553-9329
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35966
SC
Other
Enumeration date
06/28/2017
Last updated
04/30/2023
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