Provider Demographics
NPI:1760249148
Name:TOCCI, NICOLE ROSE (RPH)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:ROSE
Last Name:TOCCI
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 1:9043 THOMAS YORK BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4335
Mailing Address - Country:US
Mailing Address - Phone:210-422-7691
Mailing Address - Fax:
Practice Address - Street 1:13700 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4332
Practice Address - Country:US
Practice Address - Phone:210-545-9208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68370183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist