Provider Demographics
NPI:1043068273
Name:KURIKI, NICOLE A (PHARMD)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:A
Last Name:KURIKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16209 WILKIE AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-1532
Mailing Address - Country:US
Mailing Address - Phone:310-953-1409
Mailing Address - Fax:
Practice Address - Street 1:17170 CAMINO DEL SUR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-2538
Practice Address - Country:US
Practice Address - Phone:858-227-3919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89174183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist