Nicole Inama

Individual provider Active NPI Pharmacist · Nesquehoning, PA

NPI 1629670955 · NPPES record last updated Nov 11, 2020

Key facts

NPI
1629670955
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP445990 (PA)
Practice address
153 Lake Dr
Nesquehoning, PA 18240-2110
Phone
(570) 645-8682
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RP445990PAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP445990 PA Yes

Addresses

Primary practice location

153 Lake Dr
Nesquehoning, PA 18240-2110

Mailing address

153 Lake Dr
Nesquehoning, PA 18240-2110
Phone (570) 645-8682

Other providers in Nesquehoning, PA

All providers in Nesquehoning, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.