Individual
ANTHONY DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3830
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60021823
WA
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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