Individual
AUTUMN NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 W SYCAMORE ST, COLUMBUS, OH 43215-5618
(614) 340-7980
Mailing address
379 LEBANON ST, MONROE, OH 45050-1408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03446998
OH
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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