Individual
GINA DECAROLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1306 MACDADE BLVD, WOODLYN, PA 19094-1599
(610) 521-7011
Mailing address
411 MANCHESTER AVE APT 303, MEDIA, PA 19063-3821
(484) 684-0249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
A1-0005023
DE
183500000X
Pharmacist
Primary
RP450954
PA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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