Individual
NICOLE ROBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 E GREENWAY PKWY, SCOTTSDALE, AZ 85254-2025
(480) 368-7893
Mailing address
602 N MAY UNIT 72, MESA, AZ 85201-7505
(608) 201-7669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021993
AZ
Other
Enumeration date
08/02/2016
Last updated
02/13/2018
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