Individual ProviderNicole VieiraPharmacistPharmacy Service ProvidersPractice Address479 State Rd, T-2167, North Dartmouth, MA 02747-4309(508) 979-7531PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Vieira does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1952695801Provider TypeIndividualFull NameVieira, NicoleTitleMrs.CredentialPHARM. DGenderFemaleSole ProprietorYesEnumeration Date6/7/2011Last Updated6/7/2011Contact InformationPractice LocationPractice Address479 State Rd, T-2167, North Dartmouth, MA 02747-4309Phone(508) 979-7531FaxUnlisted FaxMailing LocationMailing Address479 State Rd, T-2167, North Dartmouth, MA 02747-4309PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicensePH26827Massachusetts