Individual
SARAH NICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3845 BROADWAY BLVD, KANSAS CITY, MO 64111-2507
(816) 561-7620
(816) 561-9582
Mailing address
3845 BROADWAY BLVD, KANSAS CITY, MO 64111-2507
(816) 561-7620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019028184
MO
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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