Individual provider · Type 1 NPI

Nicholas Petty, PharmD

Pharmacist · North Port, FL

NPI number 1003403775 Active

Practice location

15180 Tamiami Trl
North Port, FL 34287-2742

Mailing address

5081 Winter Rose Way
Venice, FL 34293-8213

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS58943 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003403775

Nicholas Petty, PharmD's National Provider Identifier is 1003403775, issued on Dec 28, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in North Port, FL. The record was last updated on Dec 28, 2020.