Nicole Renee Kotaska

NPI #1730789967 in Lucas, Texas

Provider Information

NPI Number
1730789967
Entity Type
Individual
Name
Nicole Renee Kotaska
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Oct 27, 2020
Last Updated
Oct 27, 2020

Practice Location

Address
2662 W LUCAS RD
City
Lucas
State
Texas
ZIP Code
75002-7513
Phone
(469) 675-8110

Specialties & Taxonomy Codes

Specialty
Pharmacist

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