Colucci, Justin
Colucci, Justin is an individual health care provider with primary practice located at 401 Bicentennial Way , Santa Rosa CA 95403-2149. He recently has only one registered license in Pharmacy Service Providers / Oncology, which is considered as his primary health care specialty. Colucci, Justin can be contacted via phone (707) 393-4119.Contact Information
Primary practice address
401 Bicentennial Way
Santa Rosa CA 95403-2149
Phone: (707) 393-4119
Fax: (866) 296-6825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Oncology | 1835X0200X | 64178 | California |
Profile Details
| NPI number | 1013792522 |
|---|---|
| LBN Legal business name | Colucci, Justin |
| Credentials | PHARMD. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2023 |
| Last updated | Aug 31st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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