Provider Demographics
NPI:1023385770
Name:GLOGOVAC, NIKOLA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NIKOLA
Middle Name:
Last Name:GLOGOVAC
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 AVIATION PKWY STE 808
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6663
Mailing Address - Country:US
Mailing Address - Phone:919-460-3967
Mailing Address - Fax:
Practice Address - Street 1:808 AVIATION PKWY STE 900
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6662
Practice Address - Country:US
Practice Address - Phone:919-460-3967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20649183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist