Individual
DR. KYLE NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2000
Mailing address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-106267
KS
183500000X
Pharmacist
Primary
PST.022732
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2537130
—
LA
Enumeration date
11/07/2018
Last updated
09/19/2022
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