Mark Ryan Nickell, PHARMD

Pharmacist · Anoka, MN

Individual Active NPI

NPI number 1356620348

Practice location

100 Monroe St
Anoka, MN 55303-2405
Phone
(763) 421-5540

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NPI record

NPI
1356620348
Entity type
Individual (Type 1)
Enumeration date
August 9, 2011
Last updated
August 9, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 120549 MN

Mailing address

10255 Greenbrier Rd Apt 107
Minnetonka, MN 55305-3425

About Dr. Nickell

Mark Ryan Nickell, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 100 Monroe St, Anoka, MN 55303-2405. The NPI number 1356620348 was assigned on August 9, 2011 and the record was last updated on August 9, 2011.

Dr. Nickell lists a license in the registry: #120549 (MN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Ryan Nickell, PHARMD?

The NPI number is 1356620348.

What is the phone number of Dr. Nickell?

The phone number listed for the practice location is (763) 421-5540.

Where is Dr. Nickell located?

100 Monroe St, Anoka, MN 55303-2405.

What is the taxonomy code for Dr. Nickell?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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