Individual
NICOLE KATHLEEN PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
728 N 2ND AVE, LEBANON, PA 17046-3017
(717) 306-8512
Mailing address
1651 E CUMBERLAND ST, LEBANON, PA 17042-8324
(717) 270-1919
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
08/07/2023
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