Individual
DR. CHRISTOPHER MARK NICKELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2440 WABASH AVE, TERRE HAUTE, IN 47807-3310
(812) 235-4322
(812) 235-1562
Mailing address
2440 WABASH AVE, TERRE HAUTE, IN 47807-3310
(812) 235-4322
(812) 235-1562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022205A
IN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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