Individual
DR. GIOCONDA LETIZIA TARANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6560 CARLISLE PIKE, MECHANICSBURG, PA 17050-8246
(717) 769-0444
Mailing address
100 N PARK RD APT 1273, WYOMISSING, PA 19610-3059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP451414
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP451414
PHARMACY LICENSE
PA
01
—
RPI012158
PHARMACY LICENSE INJECTABLES
PA
Enumeration date
11/15/2020
Last updated
11/15/2020
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