Provider Demographics
NPI:1518766518
Name:FREE, NICOLE RUFTY (PHARMD)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:RUFTY
Last Name:FREE
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:KRISTIN
Other - Last Name:RUFTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 DUBLIN CT
Mailing Address - Street 2:
Mailing Address - City:CHINA GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:28023-8814
Mailing Address - Country:US
Mailing Address - Phone:704-591-5686
Mailing Address - Fax:
Practice Address - Street 1:8277 BELLEVIEW DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0358
Practice Address - Country:US
Practice Address - Phone:855-455-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26981183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist