Provider Demographics
NPI:1871362251
Name:BAILEY, NICOLE PAIGE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:PAIGE
Last Name:BAILEY
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 1:863 HOLLY RD
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-2423
Mailing Address - Country:US
Mailing Address - Phone:586-255-5145
Mailing Address - Fax:
Practice Address - Street 1:1532 N OPDYKE RD STE 700
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-2686
Practice Address - Country:US
Practice Address - Phone:947-886-4178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302414019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist