Provider Demographics
NPI:1659673317
Name:DONATI, NICOLETTA Z (BS PHARMACY)
Entity Type:Individual
Prefix:MRS
First Name:NICOLETTA
Middle Name:Z
Last Name:DONATI
Suffix:
Gender:F
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 WATERS EDGE
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3850
Mailing Address - Country:US
Mailing Address - Phone:973-729-8246
Mailing Address - Fax:973-729-8246
Practice Address - Street 1:55 WATERS EDGE
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-3850
Practice Address - Country:US
Practice Address - Phone:973-729-8246
Practice Address - Fax:973-729-8246
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02154600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist