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1124677166
NICKOLAS DEITZ
FORT LAUDERDALE, FL
NPI
1124677166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS59778)
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
Dr. NICKOLAS DEITZ PharmD
1415 E SUNRISE BLVD
FORT LAUDERDALE, FL 33304-2324
Phone number: 954-888-8915
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Mailing Address
Dr. NICKOLAS DEITZ PharmD
3404 DAVIE RD APT 403
DAVIE, FL 33314-1629
Phone number: 614-581-5957
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