Jeffrey Robert Nikolaisen PHARM D.

NPI 1356595821 - Pharmacist - 183500000X

NPI Details
NPI 1356595821
Gender Male
Enumeration Date 11/11/2008
Last Updated 11/11/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
439 SOUTHEAST 223RD AVENUE
GRESHAM OR, 97030, US
Phone (503) 667-0394
Fax
Business Location
439 SOUTHEAST 223RD AVENUE
GRESHAM OR, 97030, US
Phone (503) 667-0394
Fax
Toxanomy
Taxonomy Code 183500000X
License State Oregon
License Number RPH-0011289
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According to our database, Mr. Jeffrey Robert Nikolaisen PHARM D. NPI is 1356595821, taxonomy code is 183500000X and license number is RPH-0011289, license state is located at Oregon. Jeffrey Robert Nikolaisen PHARM D. physically located at 439 Southeast 223rd Avenue, Gresham OR, 97030. NPI Number Jeffrey Robert Nikolaisen PHARM D. has the Individual type.

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1356595821 NPI number is provided on an as is basis without warranty of any kind. 1356595821 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Robert Nikolaisen PHARM D. are for informational purposes only.