Rachel Lynn Bailey Nicholson, PHARM D

Individual provider Active NPI Pharmacist · Fairlawn, OH

NPI 1942595582 · NPPES record last updated Jun 11, 2011

Key facts

NPI
1942595582
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
03-3-26938 (OH)
Practice address
2801 W Market St
Fairlawn, OH 44333-4028
Phone
(330) 865-9014
Fax
(330) 865-9014
NPI assigned
Jun 11, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-3-26938 OH Yes

Addresses

Primary practice location

2801 W Market St
Fairlawn, OH 44333-4028

Mailing address

2801 W Market St
Fairlawn, OH 44333-4028
Phone (330) 865-9014

Other providers in Fairlawn, OH

All providers in Fairlawn, OH · Pharmacist in Ohio

Sources for this page

Verify at the official NPI Registry.