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NPI Code Detail

MEDICARE: NIKKI THOENNES BROOKS RPH

MEDICARE:   NIKKI THOENNES BROOKS  RPH
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
1183500000XPharmacist13671NC

General Provider Information

NPI Number : 1952727844
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKKI THOENNES BROOKS RPH
Provider Business Mailing Address
First Line : 1101 SHILOH GLENN DR
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-5419
Country : US
Telephone Number : 919-474-5453
Fax Number : 919-464-5455
Provider Business Practice Location Address
First Line : 4711 NEW CENTRE DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-3442
Country : US
Telephone Number : 910-395-0749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2014
Last Update Date : 10/12/2020

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Directions to “ NIKKI THOENNES BROOKS RPH” Practice Location

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