Individual
ANTHONY DECLERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
(856) 641-7557
Mailing address
11 GARWOOD BLVD, CLAYTON, NJ 08312-2415
(856) 863-5535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02967700
NJ
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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