Nickell, Mark Ryan

Nickell, Mark Ryan is an individual health care provider with primary practice located at 100 Monroe St , Anoka MN 55303-2405. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Nickell, Mark Ryan can be contacted via phone (763) 421-5540.

Contact Information

Primary practice address
100 Monroe St Anoka MN 55303-2405
Phone: (763) 421-5540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 120549 Minnesota

Profile Details

NPI number 1356620348
LBN Legal business name Nickell, Mark Ryan
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Aug 9th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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