Individual
MR. MICHAEL ANTHONY DICENZO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL CAMP LEJEUNE, CAMP LEJEUNE, NC 28547-2538
(910) 450-3905
(910) 450-4558
Mailing address
100 BREWSTER BLVD, NAVAL HOSPITAL CAMP LEJEUNE, CAMP LEJEUNE, NC 28547-2538
(910) 450-3905
(910) 450-4558
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
17046
NC
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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