Individual provider · Type 1 NPI
Nicole Liedke, RPH
Pharmacist · Spring Hill, FL
Practice location
4096 Mariner Bllvd
Spring Hill, FL 34609
Fax (352) 683-5318
Mailing address
4096 Mariner Blvd
Spring Hill, FL 34609-2465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | PS62319 (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 1104581784
Nicole Liedke, RPH's National Provider Identifier is 1104581784, issued on Nov 8, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Spring Hill, FL. The record was last updated on Nov 8, 2021.