Provider Demographics
NPI:1871886192
Name:NEWMAN, NICKI GUY (RPH)
Entity type:Individual
Prefix:MRS
First Name:NICKI
Middle Name:GUY
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1513 LIVE OAK ST
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:NC
Mailing Address - Zip Code:28516-1518
Mailing Address - Country:US
Mailing Address - Phone:252-504-2800
Mailing Address - Fax:252-504-2805
Practice Address - Street 1:1513 LIVE OAK ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:NC
Practice Address - Zip Code:28516-1518
Practice Address - Country:US
Practice Address - Phone:252-504-2800
Practice Address - Fax:252-504-2805
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist