Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE CORINA MAYNE, PHARMD
Active Sole ProprietorNICOLE CORINA MAYNE, PHARMD is a Central Pharmacy healthcare provider located in BOZEMAN, Montana. NPI 1952986200 is currently active in the NPPES registry. Verify at CMS.
Central Pharmacy · BOZEMAN, MT
Registration Details
- NPI Number
- 1952986200
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 17, 2021 (5.406727439811 yrs)
- Last Updated
- Mar 17, 2021
- License
-
PHA-PHA-LIC-62959 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
931 HIGHLAND BLVD STE 3130BOZEMAN, MT, 597156914Browse MT providers · Browse ZIP 59715
- Phone
- 3039219545
- Primary Specialty
-
Central Pharmacy
3336C0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.