Nichelle Clemons, RPH is a
Pharmacist based in Rex, Georgia. Nichelle Clemons is licensed to practice in Georgia (license number RPHO17206) and her current practice location is
3354 Mosswood Lane, Rex, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 960-6047.
NPI number for Nichelle Clemons is 1588874002 and her current mailing address is 3354 Mosswood Lane, Rex, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588874002.
Healthcare Provider's Profile
| Full Name | Nichelle Clemons |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
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| Location | 3354 Mosswood Lane, Rex, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588874002
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Nichelle Clemons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588874002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | RPHO17206 (Georgia) | Primary |
| 183500000X | Pharmacist | PS29225 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichelle Clemons is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nichelle Clemons, RPH
3354 Mosswood Lane,
Rex, GA 30273-2169
Ph: (770) 960-6047 | Nichelle Clemons, RPH
3354 Mosswood Lane,
Rex, GA 30273-2169
Ph: (770) 960-6047 |
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