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Nicole Lara

Pharmacy Technician in Bay City, TX. Individual provider (NPI-1).

NPI number1114516622
StatusActive
Last updated in NPPESJan 11, 2021

Details

NPI
1114516622
Entity type
Individual (NPI-1)
Name
Nicole Lara
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2021
Certification date
Jan 11, 2021
Last updated
Jan 11, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician141426TXYes

Practice location

2700 7th St
Bay City, TX 77414-5305

Phone 979-245-1881

Mailing address

2601 Wofford Rd
Bay City, TX 77414-3255

Phone 254-644-2887

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacy Technician providers in Bay City, TX

All 5 Pharmacy Technician providers in Bay City · All 316 providers in Bay City

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