| NPI | 1669727616 |
|---|---|
| Other Name | NIKKI ANN COOLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-15354) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2012025393) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2020-11-23 |