Provider Demographics
NPI:1306441423
Name:TREASURE, TOMINIKA (PHARM D)
Entity type:Individual
Prefix:
First Name:TOMINIKA
Middle Name:
Last Name:TREASURE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 TRIBUTE CENTER DR APT 502
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-3158
Mailing Address - Country:US
Mailing Address - Phone:646-279-9308
Mailing Address - Fax:
Practice Address - Street 1:425 EMISSARY DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-2608
Practice Address - Country:US
Practice Address - Phone:919-337-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist