Provider Demographics
NPI:1174619498
Name:CLOUD, NORA (RPH)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:CLOUD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8615 W HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34448-1196
Mailing Address - Country:US
Mailing Address - Phone:352-564-1323
Mailing Address - Fax:
Practice Address - Street 1:3792 S. SUNCOAST BLVD
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34447-9999
Practice Address - Country:US
Practice Address - Phone:352-628-2188
Practice Address - Fax:352-628-0532
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0020669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist