Individual
ASHLIE NICKLAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
4400 CENTERPLACE DR, GREELEY, CO 80634-3756
(970) 330-5414
Mailing address
4400 CENTERPLACE DR, GREELEY, CO 80634-3756
(970) 330-5414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020938
CO
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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