Individual provider · Type 1 NPI

Tracey A. Licciardi, RPH

Pharmacist · Port Monmouth, NJ

NPI number 1740464031 Active

Practice location

375 Route 36
Port Monmouth, NJ 07758-1359

Call (732) 787-1041 Map

Fax (732) 787-5632

Mailing address

7 Bingham Dr
Marlboro, NJ 07746-2229

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X28RI02766900 (NJ)

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 1740464031

Tracey A. Licciardi, RPH's National Provider Identifier is 1740464031, issued on Dec 21, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Port Monmouth, NJ. The record was last updated on Dec 21, 2007.