Individual
EDWIN L NICKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 W MAIN ST, EDDYVILLE, KY 42038-7752
(270) 619-3502
Mailing address
201 W MAIN ST, EDDYVILLE, KY 42038-7752
(270) 619-3502
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
007414
KY
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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