Individual
MRS. NICOLE PATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
550 ROBERTSON BLVD, WALTERBORO, SC 29488-2788
(843) 549-3214
(843) 549-3216
Mailing address
550 ROBERTSON BLVD, WALTERBORO, SC 29488-2788
(843) 549-3214
(843) 549-3216
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
26690
SC
183700000X
Pharmacy Technician
Primary
540107010168805
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26690
SOUTH CAROLINA LABOR, LICENSING AND REGULATION
SC
01
—
330558
NABP
SC
01
—
5401-0701-0168-805
PHARMACY TECHNICIAN CERTIFICATION BOARD
—
Enumeration date
05/06/2019
Last updated
05/06/2019
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