Individual
MR. JOHN JOSEPH PERCHIACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED PHARMACIS
Contact information
Practice address
48 WILLOW WOOD LN, STATEN ISLAND, NY 10308-1869
(718) 317-5130
Mailing address
48 WILLOW WOOD LN, STATEN ISLAND, NY 10308-1869
(718) 317-5130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
33501-01
NY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
33501-01
NY
Other
Enumeration date
03/26/2007
Last updated
09/02/2010
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