Nicholas Dean Colden, RPH
Individual provider Active NPI Pharmacist · Deland, FL
NPI 1891881983 · NPPES record last updated Aug 30, 2013
Key facts
- NPI
- 1891881983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS26163 (FL)
- Practice address
- 2400 S Woodland Blvd
Deland, FL 32720-8636 - Phone
- (386) 734-5369
- Fax
- (386) 740-1333
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS26163 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS26163 | FL | Yes |
Addresses
Primary practice location
2400 S Woodland Blvd
Deland, FL 32720-8636
Mailing address
1430 Arroyo Vista Dr
Deland, FL 32724-7988
Phone (386) 717-3331
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.