Individual
JONATHAN D CICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 MANNING DR, CB 7600, CHAPEL HILL, NC 27514-4220
(984) 974-0229
Mailing address
101 MANNING DR, CB 7600, CHAPEL HILL, NC 27514-4220
(984) 974-0229
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
21821
NC
1835P1200X
Pharmacotherapy Pharmacist
21821
NC
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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