Provider Demographics
NPI:1558038869
Name:RADOJKOVIC, NIKOLA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NIKOLA
Middle Name:
Last Name:RADOJKOVIC
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 1:6744 REID DR
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4501
Mailing Address - Country:US
Mailing Address - Phone:216-512-9252
Mailing Address - Fax:
Practice Address - Street 1:5841 W 130TH ST
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44130-9308
Practice Address - Country:US
Practice Address - Phone:216-265-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03441107183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist