Individual provider · Type 1 NPI

Ricky Nickerson, RPH

Pharmacist · Venice, FL

NPI number 1386930741 Active

Practice location

4271 Tamiami Trl S, T-0813
Venice, FL 34293-5131

Fax (941) 497-7885

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X32464 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1386930741

Ricky Nickerson, RPH's National Provider Identifier is 1386930741, issued on Jun 23, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Venice, FL. The record was last updated on Jun 23, 2011.