Doctor Name: | NIKKI COLEY |
NPI Number: | 1790175206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 28RW00401400 |
Business Practice Address: | 2137 Route 38 Cherry Hill, NJ - 080022045 |
Business Phone Number: | 8563171442 |
Business Fax Number: | |
Mailing Address: | 2011 Ferry Ave Apt N12, CAMDEN |
State: | NJ |
Postal Code: | 081041954 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/04/2015 |
NPI Last Update Date: | 02/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 28RW00401400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |