Provider Demographics
NPI:1851699078
Name:BORSAY, NICHOLAS ALLEN (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:ALLEN
Last Name:BORSAY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 S CROATAN HWY
Mailing Address - Street 2:
Mailing Address - City:KILL DEVIL HILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27948-8723
Mailing Address - Country:US
Mailing Address - Phone:252-441-7111
Mailing Address - Fax:252-441-3132
Practice Address - Street 1:2014 S CROATAN HWY
Practice Address - Street 2:
Practice Address - City:KILL DEVIL HILLS
Practice Address - State:NC
Practice Address - Zip Code:27948-8723
Practice Address - Country:US
Practice Address - Phone:252-441-7111
Practice Address - Fax:252-441-3132
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19846183500000X
RIRPH04752183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist