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NPI Code Detail

MEDICARE: RIKA NICHOLE COOLEY

MEDICARE: RIKA NICHOLE COOLEY
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
1183500000XPharmacist36027TN

General Provider Information

NPI Number : 1891296711
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIKA NICHOLE COOLEY
Provider Business Mailing Address
First Line : 121 N NORTHSHORE DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-4048
Country : US
Telephone Number : 865-588-6755
Fax Number :
Provider Business Practice Location Address
First Line : 7810 OAK RIDGE HWY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37931-2313
Country : US
Telephone Number : 865-690-5357
Fax Number : 865-690-5403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2018
Last Update Date : 08/14/2020

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Directions to “ RIKA NICHOLE COOLEY ” Practice Location

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