Individual
BERNADETTE CRUZ NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3040 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4004
(706) 861-6252
Mailing address
3206 REGENCY CT, CHATTANOOGA, TN 37421-7622
(423) 313-4847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23119
TN
183500000X
Pharmacist
RPH023558
GA
Other
Enumeration date
03/16/2007
Last updated
07/18/2007
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