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Dr. Nickolas Deitz, PharmD

Pharmacist in Fort Lauderdale, FL. Individual provider (NPI-1).

NPI number1124677166
StatusActive
Last updated in NPPESSep 11, 2019

Details

NPI
1124677166
Entity type
Individual (NPI-1)
Name
Dr. Nickolas Deitz
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 11, 2019
Last updated
Sep 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS59778FLYes

Practice location

1415 E Sunrise Blvd
Fort Lauderdale, FL 33304-2324

Phone 954-888-8915

Mailing address

3404 Davie Rd Apt 403
Davie, FL 33314-1629

Phone 614-581-5957

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