Individual
NICOLE KOTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2222 S WEBSTER AVE, GREEN BAY, WI 54301-2100
(920) 430-8089
Mailing address
2222 S WEBSTER AVE, GREEN BAY, WI 54301-2100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18474-40
WI
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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