Individual provider · Type 1 NPI

Anthony Michael Desivo, PharmD

Pharmacist · Holbrook, NY

NPI number 1114231990 Active

Practice location

305 Main St
Holbrook, NY 11741-1501

Mailing address

23 Dakota St
Deer Park, NY 11729-2527

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X054915 (NY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1114231990

Anthony Michael Desivo, PharmD's National Provider Identifier is 1114231990, issued on Aug 3, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Holbrook, NY. The record was last updated on Aug 3, 2010.