Micolucci, Louis M.

Micolucci, Louis M. is an sole proprietor health care provider with primary practice located at 2341 Chichester Ave , Boothwyn PA 19061-3737. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Micolucci, Louis M. can be contacted via phone (610) 485-1130.

Contact Information

Primary practice address
2341 Chichester Ave Boothwyn PA 19061-3737
Phone: (610) 485-1130
Fax: (610) 485-9223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP037122L Pennsylvania

Profile Details

NPI number 1518978352
LBN Legal business name Micolucci, Louis M.
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518978352 NPPES
Pennsylvania MEDICAID 0014804650002
Pennsylvania Other 396896

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