Provider Demographics
NPI:1063235760
Name:OSKING, NICKOLAS T (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NICKOLAS
Middle Name:T
Last Name:OSKING
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 MULLEN RD NE APT 4
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-5919
Mailing Address - Country:US
Mailing Address - Phone:505-221-9957
Mailing Address - Fax:
Practice Address - Street 1:8500 JEFFERSON ST NE STE D
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-1884
Practice Address - Country:US
Practice Address - Phone:505-221-9957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00010103183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist