Individual
ALEXIS ROSE NICOSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7301 LAKE SHORE BLVD, MENTOR, OH 44060-3029
(440) 602-6071
Mailing address
804 MEADOWOOD BLVD, MADISON, OH 44057-2914
(440) 321-9956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03445807
OH
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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