Individual
MISS NINA JEAN TACHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1223 GATEWAY DR STE 2C, MELBOURNE, FL 32901-2607
(321) 728-6072
Mailing address
1354 MUSGRASS CIR, MELBOURNE, FL 32904-8186
(937) 408-2686
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
06006740
OH
1835P2201X
Ambulatory Care Pharmacist
Primary
PS57978
FL
Other
Enumeration date
08/04/2009
Last updated
08/15/2019
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