Individual
DR. NICOLE BETTY PIQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
102 E PHILIP AVE, NORTH PLATTE, NE 69101-5537
(308) 532-4303
(308) 532-4628
Mailing address
84 LAKEVIEW ACRES DR, JOHNSON LAKE, NE 68937
(262) 832-4541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16947
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03439645
RPH LICENSE
OH
01
—
16947
RPH LICENSE
NE
Enumeration date
12/04/2020
Last updated
12/04/2020
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