Individual provider · Type 1 NPI

Nicole Renee Kotaska

Pharmacist · Lucas, TX

NPI number 1730789967 Active

Practice location

2662 W Lucas Rd
Lucas, TX 75002-7513

Fax (469) 675-8528

Mailing address

5903 Wessex Ct
Parker, TX 75002-5455

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X36878 (TX)

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 1730789967

Nicole Renee Kotaska's National Provider Identifier is 1730789967, issued on Oct 27, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lucas, TX. The record was last updated on Oct 27, 2020.