Individual
NICOLE OUIMETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 592-7209
Mailing address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
19929
NV
Other
Enumeration date
10/05/2020
Last updated
02/12/2025
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