Individual
ANTHONY NICOLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1129 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 374-2065
(813) 374-8884
Mailing address
2476 CLEVELAND AVE, NIAGARA FALLS, NY 14305-3112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
036779
NY
183500000X
Pharmacist
10512
NV
183500000X
Pharmacist
Primary
PS54550
FL
Other
Enumeration date
01/01/2008
Last updated
01/23/2019
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