Individual
DR. NICKOLAS WILLIAM SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4369 BALL ROAD NE, BLAINE, MN 55014
(763) 784-0862
Mailing address
1435 HAMPSHIRE AVE S APT 108, ST LOUIS PARK, MN 55426-2164
(563) 529-2088
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124841
MN
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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