Healthcare Provider Details

I. General information

NPI: 1457803058
Provider Name (Legal Business Name): NICOLE AROMOLARAN MPHARM, RPH,CPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2016
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N ORANGE AVE SUITE 783
ORLANDO FL
32804-4603
US

IV. Provider business mailing address

8015 INTERNATIONAL DR STE 305
ORLANDO FL
32819-9312
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-5919
  • Fax:
Mailing address:
  • Phone: 321-440-9918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberPS47190
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPS47190
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: