Individual
DR. DANIEL KEITH NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
650 BEEBALM LN STE 220, GARLAND, TX 75040-2955
(615) 687-3601
Mailing address
650 BEEBALM LN STE 220, GARLAND, TX 75040-2955
(615) 687-3601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
019700
KY
183500000X
Pharmacist
Primary
38150
TN
183500000X
Pharmacist
62030
TX
183500000X
Pharmacist
RP452150
PA
183500000X
Pharmacist
RPH027986
GA
Other
Enumeration date
07/24/2014
Last updated
09/04/2020
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