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Gina Decarolis, PharmD

Pharmacist in Woodlyn, PA. Individual provider (NPI-1).

NPI number1164027801
StatusActive
Last updated in NPPESDec 1, 2020

Details

NPI
1164027801
Entity type
Individual (NPI-1)
Name
Gina Decarolis
Credential
PharmD
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 1, 2020
Certification date
Dec 1, 2020
Last updated
Dec 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRP450954PAYes
183500000X PharmacistA1-0005023DE

Practice location

1306 Macdade Blvd
Woodlyn, PA 19094-1599

Phone 610-521-7011

Mailing address

411 Manchester Ave Apt 303
Media, PA 19063-3821

Phone 484-684-0249

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