IndividualActive
Alexis Nicoson, PHARMD
NPI 1366326852 · Pharmacist · Mentor, OH
Provider details
- NPI number
- 1366326852
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 03445807 (OH)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
7301 Lake Shore Blvd
Mentor, OH 44060-3029
Phone: (440) 602-6071
Approximate (ZIP-level) locationGet directions
Mailing address
804 Meadowood Blvd
Madison, OH 44057-2914
Registry dates
- Enumerated
- 2025-08-05
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.