Nicole Anidiobi Simon, Pharm.D.
Pharmacist, Ambulatory Care in Baytown, TX. Individual provider (NPI-1).
NPI number1669924312
StatusActive
Last updated in NPPESSep 22, 2024
Details
- NPI
- 1669924312
- Entity type
- Individual (NPI-1)
- Name
- Nicole Anidiobi Simon
- Credential
- Pharm.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2016
- Certification date
- Sep 22, 2024
- Last updated
- Sep 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P2201X | Pharmacist, Ambulatory Care | 57163 | TX | Yes |
Other names
- Nicole Oluchi Anidiobi (Former Name)
Practice location
1602 Garth RdBaytown, TX 77520-2410
Phone 281-837-2821 · Fax 832-487-2977
Mailing address
1602 Garth RdBaytown, TX 77520-2410
Phone 281-837-2821 · Fax 832-487-2977
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