Provider Demographics
NPI:1255491502
Name:NARDUCCI, WARREN A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:A
Last Name:NARDUCCI
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 1:1208 W NISHNA RD
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:IA
Mailing Address - Zip Code:51601-2116
Mailing Address - Country:US
Mailing Address - Phone:712-246-3440
Mailing Address - Fax:712-246-2811
Practice Address - Street 1:1208 W NISHNA RD
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:IA
Practice Address - Zip Code:51601-2116
Practice Address - Country:US
Practice Address - Phone:712-246-3440
Practice Address - Fax:712-246-2811
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA18397183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist