Provider Demographics
NPI:1437484730
Name:ROMNEY, NICOLE P (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:P
Last Name:ROMNEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15510 W BELL RD
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3436
Mailing Address - Country:US
Mailing Address - Phone:623-546-2565
Mailing Address - Fax:623-544-2992
Practice Address - Street 1:15510 W BELL RD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3436
Practice Address - Country:US
Practice Address - Phone:623-546-2565
Practice Address - Fax:623-544-2992
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist