Healthcare Provider Details

I. General information

NPI: 1033408406
Provider Name (Legal Business Name): ALICIA ANN DRONICK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2011
Last Update Date: 05/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

452 S LEHIGH AVE
FRACKVILLE PA
17931-2414
US

IV. Provider business mailing address

452 S LEHIGH AVE
FRACKVILLE PA
17931-2414
US

V. Phone/Fax

Practice location:
  • Phone: 570-874-1587
  • Fax: 570-874-5988
Mailing address:
  • Phone: 570-874-1587
  • Fax: 570-874-5988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP439409
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: