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NPI Code Detail

MEDICARE: NICOLE PHILLIPS PHARMD

MEDICARE: NICOLE PHILLIPS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS49734FL

General Provider Information

NPI Number : 1184012106
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE PHILLIPS PHARMD
Provider Business Mailing Address
First Line : 9846 GLADES RD
Second Line :
City : BOCA RATON
State : FL
Zip : 33434-3917
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9846 GLADES RD
Second Line :
City : BOCA RATON
State : FL
Zip : 33434-3917
Country : US
Telephone Number : 561-852-5580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2014
Last Update Date : 12/29/2014

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Directions to “ NICOLE PHILLIPS PHARMD” Practice Location

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