NPI 1003048547

Nicole Lyn Carrico, PHARMD

Practitioner Pharmacotherapy Pharmacist Monroe, WI

Practice location

Address: 515 22nd Ave, Monroe, WI 53566
Phone: (608) 324-1242
Mailing address: 1926 N Kollath Rd, Verona, WI 53593

Registered specialties

Pharmacotherapy Pharmacist Primary

Pharmacy Service Providers Taxonomy 1835P1200X Licence 1524640 (WI)

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Registry record

NPI: 1003048547
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2009
Record last updated: 18 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.