Provider Demographics
NPI:1831417484
Name:VOELKER, NICHOLAS PAUL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:PAUL
Last Name:VOELKER
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 1:6142 STUMPH RD
Mailing Address - Street 2:APT 305
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44130-1857
Mailing Address - Country:US
Mailing Address - Phone:814-490-5969
Mailing Address - Fax:
Practice Address - Street 1:1750 HIGHLAND RD
Practice Address - Street 2:SUITE 1
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2275
Practice Address - Country:US
Practice Address - Phone:800-643-5523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03129676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist