Provider Demographics
NPI:1497570956
Name:DUREN, NICOLE GENEVIEVE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:GENEVIEVE
Last Name:DUREN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:GENEVIEVE
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:86 WISCONSIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-7545
Mailing Address - Country:US
Mailing Address - Phone:585-857-8513
Mailing Address - Fax:
Practice Address - Street 1:120 CORPORATE WOODS STE 350
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1455
Practice Address - Country:US
Practice Address - Phone:585-273-4767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051304243183500000X
NY071990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist