Individual
NICOLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13851 GUILDFORD ST STE D, WAVERLY, NE 68462-1453
(402) 786-0225
(402) 786-2155
Mailing address
13851 GUILDFORD ST STE D, WAVERLY, NE 68462-1453
(402) 786-0225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12688
NE
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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