Individual
DR. JOSEPHINE ANNE DICICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
675 WOODBURY GLASSBORO RD, SEWELL, NJ 08080-3733
(856) 415-2381
(856) 415-2381
Mailing address
44 RAVENSWOOD WAY, SEWELL, NJ 08080-3417
(856) 415-2381
(856) 415-2381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02702200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI02702200
PHARMACY LICENSE NUMBER
NJ
Enumeration date
05/23/2010
Last updated
05/23/2010
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