Individual
MRS. NIKKI POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-2650
(919) 784-4721
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
15714
NC
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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