Organization · Type 2 NPI

Derienzo Family Practice, P.c.

Non-Pharmacy Dispensing Site · Charleroi, PA

NPI number 1982873105 Active

Practice location

17 Arentzen Blvd, 101
Charleroi, PA 15022-1085

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XMD053835L (PA)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

6 other providers at this address

About NPI 1982873105

Derienzo Family Practice, P.c.'s National Provider Identifier is 1982873105, issued on Feb 21, 2008. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Charleroi, PA. The record was last updated on Oct 22, 2012.