Individual
MRS. CONNIE COLLINS NIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1330 N REYNOLDS RD, TOLEDO, OH 43615-4760
(419) 536-3840
Mailing address
29240 BELMONT FARM RD, PERRYSBURG, OH 43551-3783
(419) 345-8460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-12717
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-2-12717
PHARMACY LICENSE
OH
Enumeration date
03/29/2021
Last updated
03/29/2021
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