Individual provider · Type 1 NPI

Jincy Idicula, RPH

Pharmacist · Staten Island, NY

NPI number 1205158086 Active

Practice location

2465 Richmond Ave, Cvs Pharmacy
Staten Island, NY 10314

Call (718) 370-0365 Map

Mailing address

419 Stewart Ave
Staten Island, NY 10314-1937

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X053967 (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 1205158086

Jincy Idicula, RPH's National Provider Identifier is 1205158086, issued on Feb 22, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Staten Island, NY. The record was last updated on Feb 22, 2010.