Individual provider · Type 1 NPI
Alfred Licciardello
Pharmacist · Corona, NY
Practice location
4023 Junction Blvd
Corona, NY 11368-2123
Fax (718) 898-9834
Mailing address
795 Garden St, 5-O
Bronx, NY 10460-1130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 039203 (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…
4 other providers at this address
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About NPI 1669790721
Alfred Licciardello's National Provider Identifier is 1669790721, issued on May 12, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Corona, NY. The record was last updated on May 12, 2010.