Licciardi, Tracey A
Licciardi, Tracey A is an individual health care provider with primary practice located at 375 Route 36 , Port Monmouth NJ 07758-1359. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Licciardi, Tracey A can be contacted via phone (732) 787-1041.Contact Information
Primary practice address
375 Route 36
Port Monmouth NJ 07758-1359
Phone: (732) 787-1041
Fax: (732) 787-5632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 28RI02766900 | New Jersey |
Profile Details
| NPI number | 1740464031 |
|---|---|
| LBN Legal business name | Licciardi, Tracey A |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2007 |
| Last updated | Dec 21st, 2007 - about 17 years ago |
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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