Individual
ELLEN JEAN NICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 HAWKINS DR, DEPT PHARM CARE CC101GH, IOWA CITY, IA 52242-1009
(319) 356-2577
Mailing address
200 HAWKINS DR, DEPT PHARM CARE CC101GH, IOWA CITY, IA 52242-1009
(319) 356-2577
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
18295
IA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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