Individual provider · Type 1 NPI

Michael J. Mucciolo

Pharmacist · Wilkes Barre, PA

NPI number 1306135926 Active

Practice location

169 N Pennsylvania Ave
Wilkes Barre, PA 18701-3603

Call (570) 491-0126 Map

Fax (570) 230-0013

Mailing address

191 S Keyser Ave
Old Forge, PA 18518-1148

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP036740L (PA)

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 1306135926

Michael J. Mucciolo's National Provider Identifier is 1306135926, issued on Apr 5, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Feb 15, 2026.