Provider Demographics
NPI:1528372224
Name:FRANCE, NICOLE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:FRANCE
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 1:665 LONG POND RD.
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612
Mailing Address - Country:US
Mailing Address - Phone:585-210-4701
Mailing Address - Fax:585-210-4707
Practice Address - Street 1:665 LONG POND RD.
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612
Practice Address - Country:US
Practice Address - Phone:585-210-4701
Practice Address - Fax:585-210-4707
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054493183500000X
PARP442251183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist