Individual
NICOLE CUPPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 949-4263
Mailing address
12727 VISTA DEL NORTE, APT 222, SAN ANTONIO, TX 78216-8024
(419) 957-8279
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
03230210
OH
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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