Individual provider · NPI-1

Michael Louis Caccese, PharmD.

Pharmacist · Franklin Lakes, NJ

NPI number1275800294
StatusActive
Last updated in NPPESNov 18, 2011

Details

NPI
1275800294
Entity type
Individual (NPI-1)
Name
Michael Louis Caccese
Credential
PharmD.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 18, 2011
Last updated
Nov 18, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist28ri03228800NJYes

Practice location

400 Parsons Pond Dr
Franklin Lakes, NJ 07417-2601

Phone 201-269-4458

Mailing address

39 Veltman Ave
Staten Island, NY 10302-2334

Phone 718-720-8676

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