Louis M. Micolucci, R.PH. Valid NPI
Individual provider · Pharmacist · Boothwyn, PA
- NPI
- 1518978352
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RP037122L (PA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-08-10
- Last updated
- 2007-07-08
Practice location
2341 Chichester Ave
Boothwyn, PA 19061-3737
(610) 485-1130