Provider Demographics
NPI:1033667332
Name:HUNTER, NIKKI S (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:NIKKI
Middle Name:S
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 SAGAMORE RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-2039
Mailing Address - Country:US
Mailing Address - Phone:912-677-4588
Mailing Address - Fax:
Practice Address - Street 1:620 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-3348
Practice Address - Country:US
Practice Address - Phone:603-929-1258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028804183500000X
NHR2744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist