NPI 1548940562

Nicole Summers

Practitioner Pharmacy Technician Englewood, FL

Practice location

Address: 15 S Indiana Ave, Englewood, FL 34223-3305
Phone: (941) 473-7787
Fax: (941) 473-8817
Mailing address: 1110 Aletha Ave, Port Charlotte, FL 33948-7602

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 57834 (FL)

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Registry record

NPI: 1548940562
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2023
Record last updated: 24 Jul 2023

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.