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MRS. NICOLE LIEDKE RPH
NPI 1104581784
Pharmacist in Spring Hill, FL

Active since November 08, 2021
4096 MARINER BLLVD, SPRING HILL, FL 34609(352) 200-5031(352) 683-5318 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Nicole Liedke Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NICOLE LIEDKE RPH (NPI 1104581784) is an individual pharmacist in Spring Hill, Florida, licensed in Florida (PS62319) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1104581784
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMRS. NICOLE LIEDKECredential: RPH
Location Address4096 MARINER BLLVDSpring Hill, FL 34609
Mailing Address4096 Mariner BlvdSpring Hill, FL 34609-2465
Phone(352) 200-5031
Fax(352) 683-5318
Sole ProprietorYes
Enumeration DateNovember 8, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1104581784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in FL · PS62319
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4096 MARINER BLLVD, Spring Hill, FL 34609
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Liedke's NPI number?

The NPI number for Nicole Liedke is 1104581784. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Where is Nicole Liedke located?

Nicole Liedke practices at 4096 Mariner Bllvd, Spring Hill, FL 34609. The listed phone number is (352) 200-5031.

What is Nicole Liedke's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Nicole Liedke was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.