Individual
ANTHONY MICHAEL DICRISCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
905 MIFFLIN ST, SAXTON, PA 16678-1125
(814) 386-2145
Mailing address
905 MIFFLIN ST, SAXTON, PA 16678-1125
(814) 386-2145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP444593
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP444593
LICENSE
PA
Enumeration date
08/01/2010
Last updated
08/01/2010
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