Individual provider · Type 1 NPI

Therese Jane Micolucci

Pharmacist · St. Augustine, FL

NPI number 1457955841 Active

Practice location

2355 US Highway 1 South
St. Augustine, FL 32086

Map

Mailing address

2355 US Highway 1 S
St. Augustine, FL 32086-6072

Other practice locations

  • 2355 US Highway 1 S, St. Augustine, FL 32086-6072
  • 2355 US Highway 1 S, St. Augustine, FL 32086-6072
  • 2355 US Highway 1 S, St. Augustine, FL 32086-6072

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS15718 (FL)

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 1457955841

Therese Jane Micolucci's National Provider Identifier is 1457955841, issued on Nov 25, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Augustine, FL. The record was last updated on Nov 25, 2020.