Individual
NICHOLAS KOTAKES LOHSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
3053 SW MARTIN DOWNS BLVD, PALM CITY, FL 34990-2644
(772) 288-0105
Mailing address
9652 SW GRANADA CT, PALM CITY, FL 34990-5455
(772) 597-4298
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS0032115
FL
Other
Enumeration date
11/09/2006
Last updated
07/07/2008
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