Healthcare Provider Details

I. General information

NPI: 1255935532
Provider Name (Legal Business Name): FELICIA MAY DELLAVECCHIA BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2020
Last Update Date: 11/26/2020
Certification Date: 11/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 MILES RD
WEST CHESTER PA
19380-1950
US

IV. Provider business mailing address

760 MILES RD
WEST CHESTER PA
19380-1950
US

V. Phone/Fax

Practice location:
  • Phone: 610-429-3477
  • Fax: 610-696-7399
Mailing address:
  • Phone: 610-429-3477
  • Fax: 610-696-7399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP054343L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: