Provider Demographics
NPI:1619315686
Name:LOUIE, NORA (RPH)
Entity Type:Individual
Prefix:MS
First Name:NORA
Middle Name:
Last Name:LOUIE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 CUESTA DR
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-5504
Mailing Address - Country:US
Mailing Address - Phone:831-688-7417
Mailing Address - Fax:
Practice Address - Street 1:1465 MAIN ST
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-3759
Practice Address - Country:US
Practice Address - Phone:831-768-7180
Practice Address - Fax:831-768-8682
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist