Individual
NIKAYLA M IACOBBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
400 BALD HILL RD STE 200, TARGET PHARMACY STORE NUMBER (T-2430), WARWICK, RI 02886-6101
(401) 244-1973
(401) 244-1983
Mailing address
400 BALD HILL RD STE 200, TARGET PHARMACY STORE NUMBER (T-2430), WARWICK, RI 02886-6101
(401) 244-1973
(401) 244-1983
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05031
RI
Other
Enumeration date
08/20/2011
Last updated
08/20/2011
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