Healthcare Provider Details

I. General information

NPI: 1427970482
Provider Name (Legal Business Name): NICOLE PIORKOWSKA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6627 W BOYNTON BEACH BLVD
BOYNTON BEACH FL
33437-3526
US

IV. Provider business mailing address

5748 AZALEA CIR
WEST PALM BEACH FL
33415-4468
US

V. Phone/Fax

Practice location:
  • Phone: 561-731-2070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71025
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: