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NPI Code Detail

MEDICARE: NICOLE NWACHUKWU

MEDICARE: NICOLE NWACHUKWU
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
1183500000XPharmacist073647NY

General Provider Information

NPI Number : 1184565533
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE NWACHUKWU
Provider Business Mailing Address
First Line : 2611 WEBSTER AVE
Second Line :
City : BRONX
State : NY
Zip : 10458-4845
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2611 WEBSTER AVE
Second Line :
City : BRONX
State : NY
Zip : 10458-4845
Country : US
Telephone Number : 718-395-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/01/2026

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Directions to “ NICOLE NWACHUKWU ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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